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Jackie Marie Bennett, LMP,CLT
Specialist in Puyallup, Washington
NPI 1134412596

Jackie Marie Bennett is a Specialist based in Puyallup, WA. Jackie Marie Bennett practices in Puyallup, WA and has the professional credentials of LMP,CLT. The NPI Number for Jackie Marie Bennett is 1134412596 and holds a License No. MA00022947 (Washington).

The current practice location address for Jackie Marie Bennett is 10508 123Rd Street Ct E, Puyallup, WA and can be reached out via phone at 253-209-6276.

Location: 10508 123Rd Street Ct E, Puyallup, WA, 98374-2626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134412596
Provider Name
Jackie Marie Bennett
Credential
LMP,CLT
Provider Entity Type
Individual
Gender
Female
Address
10508 123Rd Street Ct E, Puyallup, WA, 98374-2626
Phone Number
253-209-6276
Fax Number
Provider Enumeration Date
05/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10508 123Rd Street Ct E
City
Puyallup
State
Washington
Zip
98374-2626
Phone Number
253-209-6276
Fax Number
person
Provider Business Mailing Address Details
Address
10508 123Rd Street Ct E
City
Puyallup
State
Washington
Zip
98374-2626
Phone Number
253-209-6276
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00022947 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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