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Individual
THOMAS S BENNETT
Active
Individual
THOMAS S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
813
MA
101YM0800X
Mental Health Counselor
Primary
1813
MA
106H00000X
Marriage & Family Therapist
580
MA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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