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Individual

ELIZABETH C BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
265 RIVER ST N STE 109, DELANO, MN 55328-8266
(612) 584-1153
(763) 972-8808
Mailing address
265 RIVER ST N STE 109, DELANO, MN 55328-8266
(612) 584-1153
(763) 972-8808

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2315
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144563883
MN
05
1861742405
MN
Enumeration date
09/11/2012
Last updated
10/10/2013
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