SAMUEL RICHARD BENNETT

CHICAGO, IL
NPI1114536018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-07-27
Last Update Date2020-07-27
Business Address
SAMUEL RICHARD BENNETT
5214 N WESTERN AVE
CHICAGO, IL 60625-2589
Phone number: 773-250-1769
Mailing Address
SAMUEL RICHARD BENNETT
1465 LAKE DR
MORRIS, IL 60450-2405
Phone number: 815-207-3975
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