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MRS. ALYSIA DAWN BENTLEY ASW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669901179

Individual Registrant:
MRS. ALYSIA DAWN BENTLEY ASW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
242 N VILLA AVE  WILLOWS, CA 95988-2641 US
Tel: 530-934-6582  Fax: --

Contact information for business:
242 N VILLA AVE  WILLOWS, CA 95988-2641 US
Tel: 530-519-3921  Fax: --

Registration Information:
NPI: 1669901179
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA73669

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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