Individual
CRYSTAL RAE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 SPRUCE STREET, NORTH COLLINS, NY 14111
(716) 337-3706
(716) 337-2723
Mailing address
2107 SPRUCE STREET, NORTH COLLINS, NY 14111
(716) 337-3706
(716) 337-2723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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