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1124511217
ASHLEY BENNETT
JOPLIN, MO
NPI
1124511217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO 10712)
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
ASHLEY BENNETT MAADC1
2919 E 4TH ST
JOPLIN, MO 64801-1625
Phone number: 417-782-7966
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Mailing Address
ASHLEY BENNETT MAADC1
2919 E 4TH ST
JOPLIN, MO 64801-1625
Phone number: 417-782-7966
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