Individual
MICHELLE BENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 185, KING WILLIAM, VA 23086-0185
(804) 769-3434
(804) 769-2430
Mailing address
PO BOX 185, KING WILLIAM, VA 23086-0185
(804) 769-3434
(804) 769-2430
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-372888
VA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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