Individual
TIA ALEXANDRIA BENBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SF
Contact information
Practice address
2711 WICKHAM AVE, NEWPORT NEWS, VA 23607-4125
(757) 358-3940
Mailing address
2711 WICKHAM AVE, NEWPORT NEWS, VA 23607-4125
(757) 358-3940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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