MYRA F BENNETT

POWELL, WY
NPI1437443504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WY  CAP-128)
Enumeration Date2011-06-06
Last Update Date2016-02-25
Business Address
MYRA F BENNETT CAP-128
1106 JULIE LN
POWELL, WY 82435-1632
Phone number: 307-271-7460
Mailing Address
MYRA F BENNETT CAP-128
1106 JULIE LN
POWELL, WY 82435-1632
Phone number: 307-754-7460
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