Individual
MARY E S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
85 MECHANIC ST, RECOVERY CENTER SUITE 360, LEBANON, NH 03766
(603) 448-5610
(603) 448-8260
Mailing address
9 HANOVER ST, WEST CENTRAL SERVICES INC SUITE 2, LEBANON, NH 03766
(603) 448-0126
(603) 448-6001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
046849
NY
104100000X
Social Worker
Primary
871
NH
104100000X
Social Worker
SW011138L
PA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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