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1164108429
VIKTORIJA BENNETT
PLAINFIELD, IL
NPI
1164108429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.1200556-SUPV)
Enumeration Date
2023-06-22
Last Update Date
2023-10-17
Business Address
VIKTORIJA BENNETT
10204 BODE ST STE B
PLAINFIELD, IL 60585-9813
Phone number: 630-896-7160
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Mailing Address
VIKTORIJA BENNETT
PO BOX 679
CAMDEN, NY 13316-0679
Phone number:
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