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Individual

CINDY (CYNTHIA) MARIE (M.) BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1515 S NEWCASTLE RD., GRAND ISLAND, NE 68801-0741
(308) 390-9103
(308) 382-5315
Mailing address
1515 S NEWCASTLE RD., GRAND ISLAND, NE 68801-0741
(308) 390-9103

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1277
NE
101YM0800X
Mental Health Counselor
7310
NE
1041C0700X
Clinical Social Worker
3362
NE
1041C0700X
Clinical Social Worker
6364
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025173100
NE
Enumeration date
12/27/2006
Last updated
12/02/2011
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