JACLYN BENCIVENGA

VENICE, FL
NPI1528507126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH18774)
Enumeration Date2017-02-15
Last Update Date2021-02-12
Business Address
JACLYN BENCIVENGA
417 COMMERCIAL CT STE C
VENICE, FL 34292-1655
Phone number: 941-485-0121
Mailing Address
JACLYN BENCIVENGA
5 REVERE DR
NORTHBROOK, IL 60062-1566
Phone number: 941-485-0121
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