Individual
ANDREA BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 MOUNTAIN GROVE RD, GLEN ALLEN, VA 23060-3893
(865) 567-4779
Mailing address
4209 MOUNTAIN GROVE RD, GLEN ALLEN, VA 23060-3893
(865) 567-4779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016284
VA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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