Individual
SUSAN CAROLINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 VESTAVIA PKWY STE 3900, VESTAVIA, AL 35216-3777
(205) 578-2028
Mailing address
683 LONGWOOD PL, GARDENDALE, AL 35071-4108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6806G
AL
104100000X
Social Worker
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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