Individual
ASHLEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(866) 682-5539
Mailing address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(866) 682-5539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
06/02/2025
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