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Individual

KARMEN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ME.D.

Contact information

Practice address
201 W BROADWAY, BLDG. 3, SUITE I, COLUMBIA, MO 65203-3842
(573) 214-0436
(573) 442-0606
Mailing address
201 W BROADWAY, BLDG. 3, SUITE I, COLUMBIA, MO 65203-3842
(573) 214-0436
(573) 442-0606

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013044071
MO

Other

Enumeration date
01/01/2014
Last updated
01/01/2014
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