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1134788839
NICOLE LYN BENNETT
BALTIMORE, MD
NPI
1134788839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 05083)
Enumeration Date
2019-06-07
Last Update Date
2020-09-05
Business Address
Mrs. NICOLE LYN BENNETT MS, CCC-SLP
200 E NORTH AVE
BALTIMORE, MD 21202-4888
Phone number: 443-984-2000
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Mailing Address
Mrs. NICOLE LYN BENNETT MS, CCC-SLP
1300 HERKIMER ST
BALTIMORE, MD 21223-3523
Phone number: 443-337-3868
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