Individual
MRS. AMY J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 WEBSTER ST, HANOVER, MA 02339-1262
(781) 878-8340
Mailing address
10 GLASS TER, DUXBURY, MA 02332-4844
(617) 501-6913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4EGZ
MA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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