Individual
CONNIE BENCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 N WEST ST, SILVER CITY, NM 88061-4635
(575) 654-2680
Mailing address
1205 N WEST ST, SILVER CITY, NM 88061-4635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1286
NM
101Y00000X
Counselor
Primary
—
NM
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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