Individual
SEAN KEVIN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
113 LIELMANIS AVE, 1SOMDOS/SGOW, HURLBURT FIELD, FL 32544-5613
(850) 881-5261
Mailing address
113 LIELMANIS AVE, 1SOMDOS/SGOW, HURLBURT FIELD, FL 32544-5613
(850) 881-5261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW6244
FL
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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