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Individual

HAILEY JO BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1466 HOOPER AVE STE 4, TOMS RIVER, NJ 08753-2892
(908) 297-8849
Mailing address
PREFERRED BEHAVIORAL HEALTH GROUP PO BOX 2036, LAKEWOOD, NJ 08701-8036

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
44SL07275800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0029807
NJ
Enumeration date
12/16/2024
Last updated
07/16/2025
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