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Individual

MR. KYLE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 W CARSON ST # 498, TORRANCE, CA 90502-2004
(310) 222-3233
Mailing address
717 WALNUT ST APT 4, INGLEWOOD, CA 90301-0349
(310) 672-4798

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
CA

Other

Enumeration date
12/28/2015
Last updated
12/28/2015
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