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1013677590
DARRAL N BENNETT
CLARKSBURG, WV
NPI
1013677590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV DP00945125)
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
Mr. DARRAL N BENNETT LICSW
1 MEDICAL CENTER DR
CLARKSBURG, WV 26301
Phone number: 304-623-3461
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Mailing Address
Mr. DARRAL N BENNETT LICSW
338 RIDGEWAY DR
BRIDGEPORT, WV 26330-1276
Phone number: 304-841-8625
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