Individual
ALEXIS BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6906 PAINTE CIRCLE, EDINA, MN 55439
(612) 508-0704
Mailing address
6906 PAIUTE CIR, MINNEAPOLIS, MN 55439-1031
(612) 508-0704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21758
MN
Other
Enumeration date
04/05/2016
Last updated
07/13/2021
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