Bennett, Marissa J

Bennett, Marissa J is an individual health care provider with primary practice located at 9693 Grissom Dr , Midwest City OK 73130-3531. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Bennett, Marissa J can be contacted via phone (405) 550-0286.

Contact Information

Primary practice address
9693 Grissom Dr Midwest City OK 73130-3531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1518106103
LBN Legal business name Bennett, Marissa J
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Jul 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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