Individual
TIFFANY NICOLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MSW, LSW
Contact information
Practice address
1289 ROUTE 38 STE 203, HAINESPORT, NJ 08036-2730
(609) 267-1377
(609) 265-9268
Mailing address
3 ORLY WAY, BURLINGTON, NJ 08016-3434
(609) 694-0070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07084700
NJ
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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