Individual
MIA-ANGEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4224 SHUFFIELD DR, LITTLE ROCK, AR 72205-7211
(501) 526-8616
Mailing address
16 STONEBRIDGE CIR APT 1631, LITTLE ROCK, AR 72223-4549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23021-M
AR
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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