Individual
TORY LEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 N WARREN AVE, SAGINAW, MI 48607-1548
(989) 906-7367
(989) 754-5154
Mailing address
128 N WARREN AVE, SAGINAW, MI 48607-1548
(989) 906-7367
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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