Individual
MS. AJA RILEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
15270 SW MALLARD DR STE 101, BEAVERTON, OR 97007-9432
(214) 454-1447
Mailing address
15270 SW MALLARD DR STE 101, BEAVERTON, OR 97007-9432
(214) 454-1447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10837
OR
Other
Enumeration date
08/25/2021
Last updated
01/11/2022
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