Individual
KAREN Y BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 W PASSAIC ST STE 585, ROCHELLE PARK, NJ 07662-3012
(201) 575-1260
Mailing address
15 LEO PL, LODI, NJ 07644-3303
(201) 375-0516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07010200
NJ
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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