Individual
PETER JEFFREY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
180 10TH ST SE STE 201, LE MARS, IA 51031-2557
(712) 546-4624
(712) 546-9395
Mailing address
1505 CURTISS AVE, AMES, IA 50010-5241
(319) 529-1570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091079
IA
Other
Enumeration date
10/10/2019
Last updated
10/11/2019
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