Individual
CANDICE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMSW
Contact information
Practice address
397 CHAUNCEY ST, 2F, BROOKLYN, NY 11233-2595
(240) 423-0302
Mailing address
397 CHAUNCEY ST, 2F, BROOKLYN, NY 11233-2595
(240) 423-0302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096964
NY
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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