Individual
SHELBY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2022 3RD AVE NW, WAVERLY, IA 50677-2010
(319) 596-5910
Mailing address
2022 3RD AVE NW, WAVERLY, IA 50677-2010
(319) 596-5910
(319) 352-1993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
02/28/2022
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