Jeffrey Walter Benner, LISW
Social Worker, Clinical in Mansfield, OH. Individual provider (NPI-1).
NPI number1295745404
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295745404
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Walter Benner
- Credential
- LISW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I9160 | OH | Yes |
Practice location
1456 Park Ave WMansfield, OH 44906-2700
Phone 419-529-4602
Mailing address
1189 Township Road 346Nova, OH 44859-9746
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All 114 Clinical Social Worker providers in Mansfield · All 3,375 providers in Mansfield
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