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1578784344
LC BENNETT
LOS ANGELES, CA
NPI
1578784344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- LC BENNETT
5151 S WESTERN AVE
LOS ANGELES, CA 90062-2333
Phone number: 818-997-6876
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Mailing Address
-- LC BENNETT
1315 S COCHRAN AVE APT 207
LOS ANGELES, CA 90019-2809
Phone number:
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