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Individual

MR. CARLOS GERMAINE BENNERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, P-LCSW

Contact information

Practice address
1002 SE GREENVILLE BLVD, GREENVILLE, NC 27858-4512
(910) 987-3831
Mailing address
1002 SE GREENVILLE BLVD, GREENVILLE, NC 27858-4512
(910) 987-3831

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P007265
NC

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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