Individual
TAMMIE MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
Mailing address
1851 FOREST HILL RD, CAMANO ISLAND, WA 98282-6360
(425) 529-4565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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