MEDICARE: GEORGIA L BENSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	21831	AZ

General Provider Information

NPI Number	:	1023971868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGIA L BENSON

Provider Business Mailing Address
First Line	:	2601 N CAMPBELL AVE STE 105
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-3164
Country	:	US
Telephone Number	:	520-623-4590
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 N CAMPBELL AVE STE 105
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-3164
Country	:	US
Telephone Number	:	520-623-4590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ GEORGIA L BENSON ” Practice Location

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