Individual
MRS. CHANTELLE MARIE BENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
834 KING HWY, SUITE 106, KALAMAZOO, MI 49001-2579
(269) 341-4422
(268) 341-4433
Mailing address
1865 TABBERT DR, OTSEGO, MI 49078-9689
(269) 352-7193
(269) 342-4433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2083739
MI
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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