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Individual

MRS. DEANNA GAIL BENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1632 ROUTE 38 STE C, LUMBERTON, NJ 08048-2923
(609) 203-4503
(609) 702-5882
Mailing address
1632 ROUTE 38 STE C, LUMBERTON, NJ 08048-2923
(609) 203-4503
(609) 702-5882

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05304000
NJ

Other

Enumeration date
12/07/2010
Last updated
12/07/2010
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