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Individual

MADISON BENNET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Mailing address
9901 CHAPEL HILL RD, LOUISVILLE, KY 40229-1206
(502) 471-4790

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC1900X
Counseling Psychologist
Primary
265355
KY

Other

Enumeration date
08/22/2019
Last updated
10/30/2020
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