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Individual
RACHEL LOGAN BENNETT
Active
Individual
RACHEL LOGAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801105825
MI
1041C0700X
Clinical Social Worker
Primary
149.024056
IL
Other
Enumeration date
10/23/2019
Last updated
12/01/2021
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