Individual
MRS. KAYCIE LEE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1354 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 441-9800
Mailing address
1354 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 441-9800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.189252
OH
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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