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1992012983
GINA BETH BENNETT
MIDWEST CITY, OK
NPI
1992012983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3593)
Enumeration Date
2010-09-12
Last Update Date
2017-04-30
Business Address
-- GINA BETH BENNETT LPC
2912 S DOUGLAS BLVD SUITE A
MIDWEST CITY, OK 73130-7179
Phone number: 405-698-7399
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Mailing Address
-- GINA BETH BENNETT LPC
450 ECHO LN
HARRAH, OK 73045-9654
Phone number: 405-698-7399
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