Individual
MR. EDWIN TALCOTT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW-LCSW
Contact information
Practice address
2028 N SEMINARY AVE, WOODSTOCK, IL 60098-2626
(815) 333-8651
(815) 337-4406
Mailing address
2028 N SEMINARY AVE, WOODSTOCK, IL 60098-2626
(815) 333-8651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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