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Individual

STEPHANIE AMBER BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 688-4242
Mailing address
95 HOWLANDS LN, KINGSTON, MA 02364-1640
(774) 204-4886

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
208836
CT

Other

Enumeration date
11/11/2024
Last updated
11/11/2024
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