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Individual
MS. THERESA SLAUGHTER BENNETT
Active
Individual
MS. THERESA SLAUGHTER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4440
LA
1041C0700X
Clinical Social Worker
Primary
63485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982612388
HUMANA MILITARY - TRICARE EAST
TX
05
—
2404385
—
LA
01
—
2429553
CIGNA EVERNORTH, TELEHEALTH ONLY, TX
TX
01
—
267172
TRICARE STANDARD
—
01
—
587803
BEACON/VALUEOPTIONS/MILITARYONESOURCE
TX
01
—
600568651
MAGELLAN
LA
01
—
H000033NU
BLUE CROSS BLUE SHIELD OF TX
—
Enumeration date
08/03/2006
Last updated
01/26/2023
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