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Individual

MRS. SUSAN NICOLE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTRL

Contact information

Practice address
RR 3 BOX 15C, BARBOUR COUNTY GOOD SAMARITAN CENTER, BELINGTON, WV 26250-9422
(304) 823-1791
(304) 823-1934
Mailing address
RR 3 BOX 15C, BARBOUR COUNTY GOOD SAMARITAN CENTER, BELINGTON, WV 26250-9422
(304) 823-1791
(304) 823-1934

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1273
WV

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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