Individual
LAURA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HIGH RISE DR, LOUISVILLE, KY 40213-3252
(502) 589-8085
Mailing address
1650 EASTERN PKWY APT A1, LOUISVILLE, KY 40204-1565
(270) 312-0872
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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