Individual
MRS. ALISA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 NEVADA ST, AUBURN, CA 95603-4617
(530) 887-9982
Mailing address
275 NEVADA ST, AUBURN, CA 95603-4617
(530) 887-9982
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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