Individual
MRS. DAWN P KENTISH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
297 IRONWOOD DR, STOCKBRIDGE, GA 30281-2287
(401) 743-0408
Mailing address
297 IRONWOOD DR, STOCKBRIDGE, GA 30281-2287
(401) 743-0408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW01380
RI
1041C0700X
Clinical Social Worker
CSW005849
GA
1041C0700X
Clinical Social Worker
CSW01380
RI
1041C0700X
Clinical Social Worker
Primary
ISW02415
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW01380
LICENSE
RI
Enumeration date
01/19/2010
Last updated
10/07/2016
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