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1619210796
DAMON RANDOLPH BENNETT
OAKLAND, CA
NPI
1619210796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcs21948)
Enumeration Date
2013-03-27
Last Update Date
2013-03-27
Business Address
-- DAMON RANDOLPH BENNETT lcsw
1090 61ST ST
OAKLAND, CA 94608-2355
Phone number: 510-689-8677
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Mailing Address
-- DAMON RANDOLPH BENNETT lcsw
1090 61ST ST
OAKLAND, CA 94608-2355
Phone number: 510-689-8677
Copy
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