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Individual
MAKENZIE DISBENNET
Active
Individual
MAKENZIE DISBENNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.176550
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN.523386
OH
Other
Enumeration date
05/13/2021
Last updated
09/05/2023
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