Individual
ADAM PRESLAV BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1110 E MISSOURI AVE STE 760, PHOENIX, AZ 85014-2737
(602) 918-3560
Mailing address
4506 E ESTES WAY, PHOENIX, AZ 85044-5571
(480) 338-2655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-21128
AZ
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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