Individual
ERICA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-5600
Mailing address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-5600
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
08/31/2022
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