Individual
MS. DEBORAH SUE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 287-4178
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 772-9064
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1050
KY
Other
Enumeration date
07/16/2012
Last updated
12/31/2018
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