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1316772155
ROBERT BENNETT
PORTLAND, ME
NPI
1316772155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC23946)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
ROBERT BENNETT LCSW
193 CLARK ST APT 2
PORTLAND, ME 04102-3834
Phone number: 207-252-2124
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Mailing Address
ROBERT BENNETT LCSW
193 CLARK ST APT 2
PORTLAND, ME 04102-3834
Phone number: 207-252-2124
Copy
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