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Individual
SARAH NICOLE BENNETT
Active
Individual
SARAH NICOLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007413
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
12/15/2017
Last updated
03/17/2018
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