Individual
SAM BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
1426 E 820 N, OREM, UT 84097-5481
(801) 477-0041
Mailing address
1010 N 700 W, OREM, UT 84057-3022
(208) 577-1285
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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