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1275076663
JUSTIN BENNETT
LUBBOCK, TX
NPI
1275076663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 41635)
Enumeration Date
2016-12-02
Last Update Date
2016-12-02
Business Address
Mr. JUSTIN BENNETT LCSW
6104 AVENUE Q SOUTH DR
LUBBOCK, TX 79412-3700
Phone number: 806-477-2187
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Mailing Address
Mr. JUSTIN BENNETT LCSW
6104 AVENUE Q SOUTH DR
LUBBOCK, TX 79412-3700
Phone number: 806-477-2187
Copy
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