Individual
TONI D BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
178 HAROLD L DOW HWY, ELIOT, ME 03903-2056
(207) 337-4788
Mailing address
PO BOX 483, ELIOT, ME 03903-0483
(207) 337-4788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4527
ME
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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