LISA THIELEN BENNETT

SALT LAKE CITY, UT
NPI1760152748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2021-09-20
Last Update Date2021-09-20
Business Address
LISA THIELEN BENNETT
124 S 400 E STE 335
SALT LAKE CITY, UT 84111-5316
Phone number: 801-443-2595
Mailing Address
LISA THIELEN BENNETT
124 S 400 E STE 335
SALT LAKE CITY, UT 84111-5316
Phone number: 801-443-2595