Individual
DEMETRICE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 WHITNEY AVE., GRETNA, LA 70056
(504) 312-9388
Mailing address
401 WHITNEY AVE., GRETNA, LA 70056
(504) 312-9388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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