Individual
MS. BONNIE E BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5619 CHARLOTTE ST, KANSAS CITY, MO 64110-2719
(816) 452-6200
(816) 452-6202
Mailing address
5619 CHARLOTTE ST, KANSAS CITY, MO 64110-2719
(816) 452-6200
(816) 452-6202
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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