Individual
KEN BENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
5264 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-2471
(319) 398-6575
(319) 369-4673
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01492
IA
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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