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1972623510
SUSAN BENNETT
PORTLAND, OR
NPI
1972623510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 749)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Dr. SUSAN BENNETT PhD
4915 N INTERSTATE AVE
PORTLAND, OR 97217-3624
Phone number: 503-705-3852
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Mailing Address
Dr. SUSAN BENNETT PhD
4915 N INTERSTATE AVE
PORTLAND, OR 97217-3624
Phone number: 503-705-3852
Copy
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