Individual
MELANA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 RAWLINS ST, PORT HURON, MI 48060-3658
(810) 987-3327
Mailing address
1214 RAWLINS ST, PORT HURON, MI 48060-3658
(810) 987-3327
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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