Individual
ALYSSA KIRSTEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
221 LAUREL RD STE 102, VOORHEES, NJ 08043-8301
(856) 772-5809
Mailing address
308 ARLINGTON AVE, MILLVILLE, NJ 08332-6636
(856) 364-1759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06355400
NJ
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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