Individual
DEBORAH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 N SHELDON RD, APT 202, CANTON, MI 48187-5088
(734) 716-3122
Mailing address
1300 N HIX RD, WESTLAND, MI 48185-3259
(734) 716-1255
(734) 414-3996
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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