Individual
MRS. CHARLENE HOPE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
5871 GROVELAND STATION RD, MOUNT MORRIS, NY 14510-9767
(585) 658-4023
Mailing address
5871 GROVELAND STATION RD, MOUNT MORRIS, NY 14510-9767
(585) 658-4023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
346818091
NY
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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