Individual
DOREEN KERRY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 EARLY AVE, PETERSBURG, WV 26847-9403
(304) 257-5560
Mailing address
609 5TH ST, SHENANDOAH, VA 22849-1407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1055
WV
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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