DIANA WILDER-BENNETT

HAZARD, KY
NPI1407192321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: KY  1840)
Enumeration Date2012-12-20
Last Update Date2014-05-01
Business Address
-- DIANA WILDER-BENNETT
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
Mailing Address
-- DIANA WILDER-BENNETT
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761