Individual
MARY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
4282 MEMORIAL DR STE C, DECATUR, GA 30032-1218
(470) 355-9870
Mailing address
4282 MEMORIAL DR STE C, DECATUR, GA 30032-1218
(470) 355-9870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1201
GA
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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