Individual
ELAINE BENNATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1029 N BROADWAY, ESCONDIDO, CA 92026-3043
(760) 489-4126
(760) 489-4129
Mailing address
1029 N BROADWAY, ESCONDIDO, CA 92026-3043
(760) 489-4126
(760) 489-4129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
77448
CA
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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