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1508395294
JAMIE MICHAEL BENNETT
FORT DRUM, NY
NPI
1508395294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P009784)
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
JAMIE MICHAEL BENNETT LCSWA
EBH 1BCT 5TH ARMORED DIVISION DRIVE
FORT DRUM, NY 13602
Phone number: 315-772-1451
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Mailing Address
JAMIE MICHAEL BENNETT LCSWA
21858 OAK POINTE LN APT C
WATERTOWN, NY 13601-5955
Phone number: 830-282-9035
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