Individual
MS. BEVERLEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
410 JONES ST, UKIAH, CA 95482-6340
(707) 463-0406
(707) 463-0405
Mailing address
410 JONES ST, UKIAH, CA 95482-5414
(707) 463-0405
(707) 463-0405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
04/20/2017
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