Individual
JUSTIN BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 JAYMOR RD STE B-150, SOUTHAMPTON, PA 18966-3853
(215) 947-8654
Mailing address
928 JAYMOR RD STE B-150, SOUTHAMPTON, PA 18966-3853
(215) 947-8654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020112
PA
Other
Enumeration date
08/15/2014
Last updated
02/28/2024
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