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Individual

JAMES M BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
366 MASSACHUSETTS AVENUE, SUITE 304, ARLINGTON, MA 02474-6732
(781) 488-0099
(781) 646-1066
Mailing address
366 MASSACHUSETTS AVENUE, SUITE 304, ARLINGTON, MA 02474-6732
(781) 488-0099
(781) 646-1066

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106172
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P03996
BCBS OF MA
MA
Enumeration date
11/22/2006
Last updated
07/08/2007
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