Individual
MS. LESLIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MAIN ST, 330, NORTHAMPTON, MA 01060-3109
(413) 313-3257
Mailing address
60 ALVORD ST, SOUTH HADLEY, MA 01075-1346
(413) 313-3257
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF1335
MA
106H00000X
Marriage & Family Therapist
MT0394
FL
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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