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1417670001
KOLLEEN MARIE BENNETT
SAINT JOSEPH, MI
NPI
1417670001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801114474)
Enumeration Date
2022-09-20
Last Update Date
2024-10-31
Business Address
KOLLEEN MARIE BENNETT LMSW
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085-2379
Phone number: 269-982-7747
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Mailing Address
KOLLEEN MARIE BENNETT LMSW
7085 TERRITORIAL RD
BENTON HARBOR, MI 49022-9458
Phone number: 269-313-4002
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