Individual
CARLA RACHELLE BENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 JERICHO TPKE STE 104, JERICHO, NY 11753-1320
(631) 988-2559
Mailing address
400 JERICHO TPKE STE 104, JERICHO, NY 11753-1320
(631) 988-2559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
058725
NY
Other
Enumeration date
04/26/2022
Last updated
05/04/2022
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