SHANNON GABRIELLE BENNETT

LAVALE, MD
NPI1104679745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  3502)
Enumeration Date2024-04-11
Last Update Date2024-04-11
Business Address
SHANNON GABRIELLE BENNETT ADT
14701 NATIONAL HWY SW STE 5&6
LAVALE, MD 21502-6573
Phone number: 866-922-1856
Mailing Address
SHANNON GABRIELLE BENNETT ADT
14701 NATIONAL HWY SW STE 5&6
LAVALE, MD 21502-6573
Phone number: 866-922-1856
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