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Individual

PASSION J J BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
601 BRIDGETON AVE, BRIDGETON, NJ 08302-4810
(856) 825-0255
(856) 678-9401
Mailing address
193 N BROADWAY, PENNSVILLE, NJ 08070-1417
(856) 678-9400
(856) 678-9401

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SL07169800
NJ
104100000X
Social Worker
Primary
44SL07169800
NJ

Other

Enumeration date
11/27/2024
Last updated
11/27/2024
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