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1508143702
LISA BENNER
TEMPE, AZ
NPI
1508143702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW12609)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
Ms. LISA BENNER LCSW, LISAC
1057 N PARKSIDE DR #425
TEMPE, AZ 85281-3153
Phone number: 602-277-5551
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Mailing Address
Ms. LISA BENNER LCSW, LISAC
1057 N PARKSIDE DR #425
TEMPE, AZ 85281-3153
Phone number: 602-277-5551
Copy
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