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1689713927
PHYLLIS BENNETT
LAKE CHARLES, LA
NPI
1689713927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 651)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- PHYLLIS BENNETT LPC
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-457-8022
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Mailing Address
-- PHYLLIS BENNETT LPC
2715 NOTTOWAY LN
LAKE CHARLES, LA 70605-4021
Phone number:
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