Individual
CARLA MARIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1380 EASTMONT AVE UNIT 104, EAST WENATCHEE, WA 98802-4286
(509) 699-8490
Mailing address
PO BOX 4283, WENATCHEE, WA 98807-4283
(509) 669-8490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004271
WA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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