# MS. AJA RILEY BENNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053088294
- **Gender:** F
- **Credential:** MSW, LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L10837 | OR | Yes |

## Other

- **Enumeration date:** 08/25/2021
- **Last updated:** 01/11/2022