Individual
BRETT BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 953-9999
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 953-9999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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