LISAH NICHOLE BENNETT

SOUTH PASADENA, CA
NPI1952431793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
(Licence: CA  IMF 46200)
Enumeration Date2007-03-07
Last Update Date2007-07-13
Business Address
-- LISAH NICHOLE BENNETT MS MFT
625 S. FAIR OAKS BLVD #300
SOUTH PASADENA, CA 91030
Phone number: 626-831-2509
Mailing Address
-- LISAH NICHOLE BENNETT MS MFT
625 S. FAIR OAKS AVE. STE. 300
S. PASADENA, CA 91030
Phone number:
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