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NPI Code Detail

MEDICARE: CHRISTINA M BENTON LSW

MEDICARE: CHRISTINA M BENTON LSW
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
1104100000XSocial WorkerS.0029676OH

General Provider Information

NPI Number : 1376767855
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA M BENTON LSW
Provider Business Mailing Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number : 419-841-7701
Fax Number :
Provider Business Practice Location Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number : 419-841-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 05/08/2025

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Directions to “ CHRISTINA M BENTON LSW” Practice Location

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