Individual
JANE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 LITTLE YORK RD, DAYTON, OH 45414
(937) 454-0092
(937) 264-1101
Mailing address
3821 LITTLE YORK RD, DAYTON, OH 45414-2409
(937) 454-0092
(937) 264-1101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0008607
OH
Other
Enumeration date
12/17/2013
Last updated
01/22/2019
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