Individual
MS. CARLA MICHELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1105 DIVISION AVE, SUITE 201, TACOMA, WA 98403
(253) 403-9200
(253) 403-9201
Mailing address
1105 DIVISION AVE, SUITE 201, TACOMA, WA 98403
(253) 403-9200
(253) 403-9201
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001023
CA
Other
Enumeration date
06/04/2019
Last updated
09/19/2022
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