Individual
DOROTHY EILEEN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2530 SANDCREST BLVD, COLUMBUS, IN 47203
(812) 372-3177
(812) 372-3692
Mailing address
2530 SANDCREST BLVD, COLUMBUS, IN 47203
(812) 372-3177
(812) 372-3692
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000528A
IN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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