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1285790360
TRACY S BENNETT
CAMARILLO, CA
NPI
1285790360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY15696)
Enumeration Date
2006-12-31
Last Update Date
2007-07-08
Business Address
Dr. TRACY S BENNETT Ph.D.
340 ROSEWOOD AVE
CAMARILLO, CA 93010-5927
Phone number: 805-383-0882
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Mailing Address
Dr. TRACY S BENNETT Ph.D.
340 ROSEWOOD AVE
CAMARILLO, CA 93010-5927
Phone number: 805-383-0882
Copy
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