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Individual

MELISSA ANN BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3977 BECKLEY ROAD, PRINCETON, WV 24740
(304) 431-5499
Mailing address
3977 BECKLEY ROAD, PRINCETON, WV 24740
(304) 431-5499

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00942429
WV

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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