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Individual

MRS. ELISE BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
4444 N BELLEVIEW, SUITE 211, KANSAS CITY, MO 64116-1502
(785) 341-2977
Mailing address
4444 N BELLEVIEW, SUITE 211, KANSAS CITY, MO 64116-1502
(785) 341-2977

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
06/19/2013
Last updated
05/21/2019
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