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Individual
SHAWNA BENNETT
Active
Individual
SHAWNA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC, LLMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016499
MI
106H00000X
Marriage & Family Therapist
4101006809
MI
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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