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Individual

MS. GAIL DENISE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
DDEAMC 300 E HOSPITAL ROAD 13A-10, BLDG. 40701, FORT GORDON, GA 30905
(706) 787-2420
(706) 787-8180
Mailing address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2420
(706) 787-8180

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002555
GA

Other

Enumeration date
12/14/2006
Last updated
09/10/2013
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