Individual
ESSIE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19615 LIVERPOOL PKWY STE B, CORNELIUS, NC 28031-4075
(205) 746-9624
Mailing address
19615 LIVERPOOL PKWY STE B, CORNELIUS, NC 28031-4075
(205) 746-9624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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