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NPI Code Detail

MEDICARE: LAURA BENSLAY LCSW

MEDICARE:   LAURA  BENSLAY  LCSW
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
11041C0700XClinical Social Worker34007082AIN

General Provider Information

NPI Number : 1275910655
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BENSLAY LCSW
Provider Business Mailing Address
First Line : 14074 TRADE CENTER DR STE 140
Second Line :
City : FISHERS
State : IN
Zip : 46038-4570
Country : US
Telephone Number : 317-755-7442
Fax Number :
Provider Business Practice Location Address
First Line : 14074 TRADE CENTER DR STE 140
Second Line :
City : FISHERS
State : IN
Zip : 46038-4570
Country : US
Telephone Number : 317-755-7442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2015
Last Update Date : 05/05/2015

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Directions to “ LAURA BENSLAY LCSW” Practice Location

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