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Individual

STACEY BENNINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S., CMS-CHT

Contact information

Practice address
12837 W ARIZONA PL, LAKEWOOD, CO 80228-3558
(303) 881-6491
Mailing address
12837 W ARIZONA PL, LAKEWOOD, CO 80228-3558
(303) 881-6491

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NLC.0106086
CO

Other

Enumeration date
02/27/2021
Last updated
03/04/2021
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