Individual
BOBBIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6334 PETERS CREEK RD, ROANOKE, VA 24019-4024
(540) 348-4700
Mailing address
1012 GREENWOOD AVE, DANVILLE, VA 24541-4930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704015836
VA
Other
Enumeration date
09/06/2023
Last updated
07/22/2024
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