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Individual

MS. BRENDA MARIE BENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,LCSW

Contact information

Practice address
1361 FRANCIS ST, SUITE 300, LONGMONT, CO 80501-2576
(303) 817-7857
Mailing address
1361 FRANCIS ST, SUITE 300, LONGMONT, CO 80501-2576
(303) 817-7857

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
999815
CO
163W00000X
Registered Nurse
55529
CO

Other

Enumeration date
12/01/2006
Last updated
02/11/2011
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