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Individual

MS. SALLYE J. BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LMFT

Contact information

Practice address
3401 HAVENBROOK ST, NORMAN, OK 73072-4102
(405) 329-0101
(405) 329-1768
Mailing address
3401 HAVENBROOK ST, NORMAN, OK 73072-4102
(405) 329-0101
(405) 329-1768

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
459
OK

Other

Enumeration date
02/07/2008
Last updated
02/07/2008
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