Individual
KEYONNA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 NEW YORK AVE NE STE 207, WASHINGTON, DC 20002-1849
(240) 464-9583
Mailing address
1818 NEW YORK AVE NE STE 207, WASHINGTON, DC 20002-1849
(240) 464-9583
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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