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Individual

SHANAVIN BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8 LYDNEY CIR, CHESAPEAKE, VA 23320-2432
(757) 300-3025
(757) 312-0207
Mailing address
8 LYDNEY CIR, CHESAPEAKE, VA 23320-2432
(757) 300-3025
(757) 312-0207

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/09/2021
Last updated
05/14/2026
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