Individual
JENNIFER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1301 RT 72 EAST, MANAHAWKIN, NJ 08050
(609) 597-0483
Mailing address
1301 ROUTE 72 W, MANAHAWKIN, NJ 08050-2483
(609) 597-0483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05285700
NJ
Other
Enumeration date
10/16/2013
Last updated
10/21/2013
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