Individual
CASIE JEAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
Mailing address
385 EVERGREEN DR, BRICK, NJ 08723-4917
(732) 503-2375
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06607700
NJ
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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