Individual
DESTINY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 SW 2ND ST, RED OAK, OK 74563-2417
(918) 625-0971
Mailing address
203 SW 2ND ST, RED OAK, OK 74563-2417
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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