Individual
BENTON ALEXANDRA SHEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8788 ELK GROVE BLVD STE D, ELK GROVE, CA 95624-1767
(916) 400-0505
Mailing address
8788 ELK GROVE BLVD STE D, ELK GROVE, CA 95624-1767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127717
CA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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