Individual
BRAD BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
290 W 100 S, VERNAL, UT 84078-2516
(435) 621-6142
Mailing address
PO BOX 790007, VERNAL, UT 84079-0007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111992-3501
UT
Other
Enumeration date
10/23/2006
Last updated
12/05/2016
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