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1467026641
LISA ANN BENNETT
MATTOON, IL
NPI
1467026641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
LISA ANN BENNETT MS
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5735
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Mailing Address
LISA ANN BENNETT MS
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5735
Copy
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