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1396412086
JUSTIN L BENNETT
BENTON HARBOR, MI
NPI
1396412086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
JUSTIN L BENNETT
1613 M 139
BENTON HARBOR, MI 49022-5748
Phone number: 269-925-0585
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Mailing Address
JUSTIN L BENNETT
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-925-0585
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