BENNETT SAMUELS

MARIANNA, FL
NPI1417939372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW 0003879)
Enumeration Date2005-11-16
Last Update Date2007-07-08
Business Address
-- BENNETT SAMUELS LCSW
4094 LAFAYETTE ST
MARIANNA, FL 32446-5648
Phone number: 850-482-7441
Mailing Address
-- BENNETT SAMUELS LCSW
525 E 15TH ST
PANAMA CITY, FL 32405-5412
Phone number: 850-522-4485