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-- LEABETH BENNET -- RN

Individual Provider (NPI-1) Active

Registered Nurse, Psych/Mental Health

Provider Information

NPI Number
1962649319
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
1841 MADORA AVE, DOUGLAS, WY, 826333057
Phone
(307) 358-2846
Fax
(307) 358-5329

Specialties & Taxonomies

Registered Nurse, Addiction (Substance Use Disorder) License: WY #21481
Registered Nurse, Psych/Mental Health Primary License: WY #21481

All Addresses

MAILING

1841 MADORA AVE

DOUGLAS, WY, 826333057

(307) 358-2846

LOCATION

1841 MADORA AVE

DOUGLAS, WY, 826333057

(307) 358-2846