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1366949364
JUSTIN M BENNETT
SAINT LOUIS, MO
NPI
1366949364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2013040982)
Enumeration Date
2018-04-07
Last Update Date
2024-06-25
Business Address
JUSTIN M BENNETT LCSW
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125-4181
Phone number: 314-652-4100
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Mailing Address
JUSTIN M BENNETT LCSW
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125-4181
Phone number: 314-652-4100
Copy
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