Individual
MS. MADELEINE BENNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5916 ANAHEIM AVE NE, ALBUQUERQUE, NM 87113-1887
(505) 291-6314
Mailing address
PO BOX 1363, PENA BLANCA, NM 87041-1363
(505) 934-6558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09113
NM
Other
Enumeration date
06/12/2015
Last updated
11/30/2021
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