Individual
MS. BONNIE E BENSON
Active
Individual
MS. BONNIE E BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW002219
MO
1041C0700X
Clinical Social Worker
LSCSW1004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004300A
—
KS
01
—
14492034
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/13/2006
Last updated
04/12/2021
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