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1710168679
RICHARD BENNINK
UNCASVILLE, CT
NPI
1710168679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 001206)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- RICHARD BENNINK LCSW
5 CROW HILL RD
UNCASVILLE, CT 06382-1118
Phone number: 860-862-6235
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Mailing Address
-- RICHARD BENNINK LCSW
5 CROW HILL RD
UNCASVILLE, CT 06382-1118
Phone number: 860-862-6235
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