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Individual

MS. LEATHA J BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
11200 LARIAT WAY, DODGE CITY, KS 67801-7328
(620) 225-0276
(620) 225-0279
Mailing address
900 W BROADWAY ST, NEWTON, KS 67114-2037
(316) 283-1950
(316) 283-9540

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2524
KS

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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