Individual
MR. DALE TODD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
480 N BISBEE AVE, WILLCOX, AZ 85643-1509
(520) 384-8660
Mailing address
480 N BISBEE AVE, WILLCOX, AZ 85643-1509
(520) 909-8447
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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