Individual
JACQUELINE WELCH-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
226 LINDA AVE, HAWTHORNE, NY 10532-2018
(914) 773-7593
(914) 773-7594
Mailing address
226 LINDA AVE, HAWTHORNE, NY 10532-2018
(914) 773-7593
(914) 773-7594
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
063832
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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