Individual
MS. DENISE LORRAINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Mailing address
714 TOWNER AVE NW, ALBUQUERQUE, NM 87102-1037
(505) 508-7668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10647
NM
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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