JEFFREY WALTER BENNER

MANSFIELD, OH
NPI1295745404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I9160)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
Mr. JEFFREY WALTER BENNER LISW
1456 PARK AVE W
MANSFIELD, OH 44906-2700
Phone number: 419-529-4602
Mailing Address
Mr. JEFFREY WALTER BENNER LISW
1189 TOWNSHIP ROAD 346
NOVA, OH 44859-9746
Phone number:
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