Individual
LAUREN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 3RD ST SE, WASHINGTON, DC 20003-3443
(202) 854-0316
Mailing address
804 3RD ST SE, WASHINGTON, DC 20003-3443
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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