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Individual
LESLIE LYNN BENNETT
Active
Individual
LESLIE LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
67293
TX
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005282
BCBS
TX
05
—
395401902
—
TX
01
—
832244
MEDICARE
TX
Enumeration date
01/30/2008
Last updated
10/07/2025
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