Individual
SAMANTHA L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
360 SW BOND ST STE 330, BEND, OR 97702-3556
(541) 706-2768
Mailing address
70 SW CENTURY DR STE 100, BEND, OR 97702-3558
(541) 771-8170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3214
OR
Other
Enumeration date
05/22/2009
Last updated
08/27/2022
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