Organization
SAMANTHA BENNETT LCSW THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA L BENNETT LCSW (OWNER)
(541) 771-8170
Entity
Organization
Contact information
Practice address
918 NE 5TH ST, BEND, OR 97701-4617
(541) 771-8170
Mailing address
70 SW CENTURY DR STE 100, BEND, OR 97702-3558
(541) 771-8170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
10/03/2022
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