Individual
BRANDY L BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
419 22ND AVE, LEWISTON, ID 83501-3812
(208) 746-3388
Mailing address
419 22ND AVE, LEWISTON, ID 83501-3812
(208) 746-3388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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