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Individual
MR. JOHN WILLIAM BENNETT JR.
Active
Individual
MR. JOHN WILLIAM BENNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801014325
MI
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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