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1023024288
RICHARD ALLEN BENNETT
SMITHTOWN, NY
NPI
1023024288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069664-1)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Mr. RICHARD ALLEN BENNETT L.C.S.W.
45 WILDWOOD LN
SMITHTOWN, NY 11787-3452
Phone number: 631-724-3145
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Mailing Address
Mr. RICHARD ALLEN BENNETT L.C.S.W.
45 WILDWOOD LN
SMITHTOWN, NY 11787-3452
Phone number: 631-724-3145
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