Individual
MRS. BONNIE J. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5031 ROUTE 9W, NEWBURGH, NY 12550
(845) 565-4824
(845) 565-4884
Mailing address
5031 ROUTE 9W, NEWBURGH, NY 12550
(845) 565-4820
(845) 565-4884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
060040-1
NY
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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