Individual
BENITA R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
300 TACONITE ST, SUITE 201, HURLEY, WI 54534-1546
(715) 561-3636
(715) 561-2128
Mailing address
9195 W RUKS RD, SAXON, WI 54559-9540
(715) 561-3636
(715) 561-2128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3053-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40925800
—
WI
Enumeration date
06/13/2007
Last updated
07/08/2007
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