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1407155112
CHARLES RAUL BENNETT
PASCO, WA
NPI
1407155112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60156371)
Enumeration Date
2011-03-21
Last Update Date
2011-03-21
Business Address
-- CHARLES RAUL BENNETT
720 W COURT ST STE 8
PASCO, WA 99301-4178
Phone number: 509-545-6506
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Mailing Address
-- CHARLES RAUL BENNETT
PO BOX 1452
PASCO, WA 99301-1223
Phone number: 509-547-2204
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