Organization
COACHING FOR THE VOYAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BENNETT LCSW-C (THERAPIST)
(240) 538-2577
Entity
Organization
Contact information
Practice address
23123 CAMDEN WAY, CALIFORNIA, MD 20619-2446
(240) 538-2577
(888) 974-6528
Mailing address
PO BOX 65, MECHANICSVILLE, MD 20659-0065
(240) 538-2577
(888) 974-6528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09312
MD
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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