Individual
ANDREA BENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
420 W PEARL AVE, JACKSON, WY 83001-8409
(307) 734-6040
Mailing address
PO BOX 2299, JACKSON, WY 83001-2299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1152
WY
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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