Individual
CANDY SUE BENISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
3349 CHILHAM PL, CHARLOTTE, NC 28226-3000
(704) 292-8056
Mailing address
3349 CHILHAM PL, CHARLOTTE, NC 28226-3000
(704) 292-8056
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
174400000X
Specialist
Primary
—
—
225700000X
Massage Therapist
8937
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8937
NC BOARD OF MASSAGE & BODYWORK THERAPY
NC
Enumeration date
01/12/2016
Last updated
01/12/2016
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