Individual
MARISA R BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10144 SILVER BLUFF DR, LEESBURG, FL 34788-3670
(352) 434-4022
Mailing address
10144 SILVER BLUFF DR, LEESBURG, FL 34788-3670
(352) 434-4022
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/19/2018
Last updated
01/13/2022
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