Individual
MS. DEBRA LANOUE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
1 MCGUFFEY LN, DELMAR, NY 12054-4133
(518) 439-4905
Mailing address
105 DIANE LN, TROY, NY 12182-9713
(518) 326-2753
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R052072-1
NY
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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