Individual
MISHA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
602 RANSDELL RD, LEBANON, IN 46052-2349
(765) 482-7100
(317) 674-0059
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4360
(317) 587-0533
(317) 674-0059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006526A
IN
Other
Enumeration date
03/15/2012
Last updated
06/25/2012
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