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1871868406
MISHA BENNETT
LEBANON, IN
NPI
1871868406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006526A)
Enumeration Date
2012-03-15
Last Update Date
2012-06-25
Business Address
-- MISHA BENNETT LCSW
602 RANSDELL RD
LEBANON, IN 46052-2349
Phone number: 765-482-7100
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Mailing Address
-- MISHA BENNETT LCSW
9615 E 148TH ST SUITE 1
NOBLESVILLE, IN 46060-4360
Phone number: 317-587-0533
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