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1649834938
TYLER GATES BENNETT
PHOENIX, AZ
NPI
1649834938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-16910)
Enumeration Date
2019-04-23
Last Update Date
2019-05-10
Business Address
TYLER GATES BENNETT LPC
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 480-536-3016
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Mailing Address
TYLER GATES BENNETT LPC
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 480-536-3016
Copy
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