Individual
HEIDI BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23827 EDEN ST, PLAQUEMINE, LA 70764-3315
(225) 289-4621
Mailing address
20625 CHARLES ORY DR, PLAQUEMINE, LA 70764-5317
(225) 385-1711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11292
LA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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