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1538826573
JEB BENNETT LCSW
BOULDER, CO
NPI
1538826573
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Entity Type
Organization
Authorized Contact
GERALD W BENNETT
Owner
303-946-0236
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-24
Last Update Date
2021-12-06
Business Address
JEB BENNETT LCSW
800 LARAMIE BLVD UNIT B
BOULDER, CO 80304-4785
Phone number: 303-946-0236
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Mailing Address
JEB BENNETT LCSW
800 LARAMIE BLVD UNIT B
BOULDER, CO 80304-4785
Phone number: 303-946-0236
Copy
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