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1285396481
MARK BENNETT PLLC
IDAHO FALLS, ID
NPI
1285396481
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Entity Type
Organization
Authorized Contact
MARK BARRY BENNETT
Clinical Social Worker
208-521-9437
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
MARK BENNETT PLLC
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
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Mailing Address
MARK BENNETT PLLC
320 RED FOX DR
IDAHO FALLS, ID 83401-3479
Phone number: 208-521-9437
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