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Organization
LLC OF REGINA BENNER
Active
Organization
LLC OF REGINA BENNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA C BENNER MSW, LCSW, RPT (OUTPATIENT THERAPIST)
(215) 407-5232
Entity
Organization
Contact information
Practice address
672A KNOWLES AVE, SOUTHAMPTON, PA 18966-4102
(215) 407-5232
Mailing address
109 SUMMIT AVE, WILLOW GROVE, PA 19090-3108
(121) 540-7523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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