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1467824003
BENJAMIN BENNETT
CHICAGO, IL
NPI
1467824003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146011444)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- BENJAMIN BENNETT CCC-SLP
1812 W CORTLAND ST APT 3F
CHICAGO, IL 60622-1062
Phone number: 615-785-6442
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Mailing Address
-- BENJAMIN BENNETT CCC-SLP
1812 W CORTLAND ST APT 3F
CHICAGO, IL 60622-1062
Phone number: 615-785-6442
Copy
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