Individual
MRS. ANGELA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(301) 263-0811
Mailing address
2687 WILLIAMSPORT PIKE, MARTINSBURG, WV 25404-6405
(304) 267-1442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00943632
WV
Other
Enumeration date
11/19/2008
Last updated
11/03/2010
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