Individual
ALYSCE KIA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 MONROE ST, GRETNA, LA 70053-2307
(504) 309-6798
Mailing address
1202 MONROE ST, GRETNA, LA 70053-2307
(504) 407-2115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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