KELLI DIANE BENNETT

DALLAS, OR
NPI1699320440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-08
Last Update Date2019-08-08
Business Address
KELLI DIANE BENNETT
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-6818
Mailing Address
KELLI DIANE BENNETT
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number:
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