Individual
MS. ASHLEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 NW PEACOCK BLVD STE 1, PORT SAINT LUCIE, FL 34986-2213
(772) 348-0900
Mailing address
590 NW PEACOCK BLVD, PORT ST LUCIE, FL 34986-2213
(772) 410-5902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2020
Last updated
03/07/2022
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