Individual
MS. INA POLLY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1907 WAXWING DR, CANTONMENT, FL 32533-5828
(850) 501-2262
Mailing address
1907 WAXWING DR, CANTONMENT, FL 32533-5828
(850) 501-2262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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