-- MISHA BENNETT -- LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1871868406- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 602 RANSDELL RD, LEBANON, IN, 460522349
- Phone
- (765) 482-7100
- Fax
- (317) 674-0059
Specialties & Taxonomies
Social Worker, Clinical
Primary License: IN #34006526A