Individual
BENSON AVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2700 W INDIANA ST, EVANSVILLE, IN 47712-5637
(812) 428-0698
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34008850A
IN
Other
Enumeration date
07/21/2017
Last updated
05/17/2021
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