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1518328244
KATHARINE ASHLEY BENNETT
SANTA ROSA, CA
NPI
1518328244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-08
Last Update Date
2016-03-08
Business Address
-- KATHARINE ASHLEY BENNETT
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-360-1511
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Mailing Address
-- KATHARINE ASHLEY BENNETT
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-360-1511
Copy
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