Individual
MEGAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 EDWARD ST, SYCAMORE, IL 60178-2155
(847) 707-2689
Mailing address
240 EDWARD ST, SYCAMORE, IL 60178-2155
(847) 707-2689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102948
IL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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