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Individual

EMILY SARAH BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
650 W 12TH AVE APT 101, EUGENE, OR 97402-4095
(541) 731-7703
Mailing address
650 W. 12TH AVENUE #101, EUGENE, OR 97402
(541) 731-7703

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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Product
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  • Eligibility checks
  • EDI platform