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Individual

ALISHA BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
19 W 34TH ST, PH, NEW YORK, NY 10001-3006
(347) 209-5005
Mailing address
455 PARK AVE S, #501, NEW YORK, NY 10016-7329
(347) 209-5005

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
077675
NY

Other

Enumeration date
01/19/2016
Last updated
01/19/2016
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