Individual
DENISE KENNER-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
101 CORNELL AVE, STRATFORD, NJ 08084-1103
(267) 210-9776
Mailing address
101 CORNELL AVE, STRATFORD, NJ 08084-1103
(267) 210-9776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126828
PA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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