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Individual

AMBER BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 S 23RD ST, WORLAND, WY 82401-3725
(307) 347-6165
(307) 347-6166
Mailing address
401 S 23RD ST, WORLAND, WY 82401-3725
(307) 347-6165
(307) 620-7677

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
071
WY
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106352907
WY
05
106352908
WY
Enumeration date
04/26/2011
Last updated
01/12/2026
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