KELLY BENNETT

PHOENIX, AZ
NPI1184384489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-12-28
Last Update Date2021-12-28
Business Address
KELLY BENNETT
5306 N 17TH AVE
PHOENIX, AZ 85015-3035
Phone number: 602-249-6674
Mailing Address
KELLY BENNETT
5306 N 17TH AVE
PHOENIX, AZ 85015-3035
Phone number: 602-249-6674
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