PHILLIP WHAYNE BENNETT

PORT JERVIS, NY
NPI1629223730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  075663-1)
Enumeration Date2008-11-18
Last Update Date2009-09-22
Business Address
Mr. PHILLIP WHAYNE BENNETT LCSW
146 PIKE STREET
PORT JERVIS, NY 12771
Phone number: 845-858-1456
Mailing Address
Mr. PHILLIP WHAYNE BENNETT LCSW
146 PIKE STREET
PORT JERVIS, NY 12771
Phone number: 845-858-1456
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