Individual
ALLISON BENWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LOUISA AVE, DUPO, IL 62239-6223
(618) 286-3311
Mailing address
600 LOUISA AVE, DUPO, IL 62239-1469
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2379347
IL
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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