Individual
DANNIELLE EVE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
3542 SR 309 HWY, DALLAS, PA 18612-1463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016856
PA
Other
Enumeration date
03/27/2007
Last updated
01/17/2014
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