Doctor Name: | MS. MARILYN JEAN BENDT |
NPI Number: | 1245253806 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. |
License Number: | 725 |
Business Practice Address: | 2900 Doolittle Dr Suite 1m08 Ellsworth Afb, SD - 577064821 |
Business Phone Number: | 6053853656 |
Business Fax Number: | 6063852030 |
Mailing Address: | 2900 Doolittle Dr, Suite 1m08 ELLSWORTH AFB |
State: | SD |
Postal Code: | 577064821 |
Phone Number: | 6053853656 |
Fax Number: | 6063852030 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |