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1407601172
KELLY N BENNETT
PHOENIX, AZ
NPI
1407601172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AZ 20420)
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
KELLY N BENNETT LMSW
1609 W VERNON AVE
PHOENIX, AZ 85007-1213
Phone number: 623-755-4585
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Mailing Address
KELLY N BENNETT LMSW
1609 W VERNON AVE
PHOENIX, AZ 85007-1213
Phone number: 623-755-4585
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