Mark Bennett Pllc
NPI #1285396481 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1285396481
- Entity Type
- Organization
- Organization Name
- Mark Bennett Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 6, 2021
- Last Updated
- Oct 6, 2021
Practice Location
- Address
- 2775 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7510
- Phone
- (208) 524-0133
Authorized Official
- Name
- MR. MARK BARRY BENNETT, LCSW
- Title
- CLINICAL SOCIAL WORKER
- Phone
- (208) 521-9437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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