Individual
STACEY ROBIN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1961 CHERYL CT, LAKE OSWEGO, OR 97034-7595
(503) 730-3148
Mailing address
1961 CHERYL CT, LAKE OSWEGO, OR 97034-7595
(503) 730-3148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6876
OR
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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