GREGORY JAMES BENNETT

POWELL, WY
NPI1194034454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  LAT326)
Enumeration Date2010-10-04
Last Update Date2015-02-25
Business Address
-- GREGORY JAMES BENNETT LAT
249 E 2ND ST STE 1
POWELL, WY 82435-1959
Phone number: 307-254-2038
Mailing Address
-- GREGORY JAMES BENNETT LAT
1051 MORNING GLORY LN
POWELL, WY 82435-2266
Phone number: 307-254-2038
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