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Individual

MR. GEORGE EDWARD BENNETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, MAMS

Contact information

Practice address
129 CHARLES ST, HANOVER, PA 17331-1807
(717) 633-1227
Mailing address
665 HERRS RIDGE RD, GETTYSBURG, PA 17325-8451
(717) 337-2695

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
016190
MI
101YM0800X
Mental Health Counselor
PC004454
PA

Other

Enumeration date
11/01/2006
Last updated
06/26/2008
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