Individual
MR. DARRAL N BENNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1 MEDICAL CENTER DR, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
338 RIDGEWAY DR, BRIDGEPORT, WV 26330-1276
(304) 841-8625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945125
WV
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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