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1689166761
KRISTEN RAY BENNETT
BOISE, ID
NPI
1689166761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-41872)
Enumeration Date
2018-06-04
Last Update Date
2023-03-30
Business Address
KRISTEN RAY BENNETT LCSW
109 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
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Mailing Address
KRISTEN RAY BENNETT LCSW
13698 W ROCHESTER ST
BOISE, ID 83713-1924
Phone number: 208-602-9305
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