Individual
SUSAN MICHELLE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43961 KALIFORNSKY BEACH RD STE C, SOLDOTNA, AK 99669-8276
(907) 260-1176
(907) 260-1177
Mailing address
7521 BRAYTON DRIVE, ANCHORAGE, AK 99507
(907) 205-8473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/03/2018
Last updated
12/14/2021
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