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1821044900
MARY ELLEN BENNETT
SAN DIEGO, CA
NPI
1821044900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS20406)
Enumeration Date
2006-05-26
Last Update Date
2017-04-28
Business Address
-- MARY ELLEN BENNETT LCSW
16935 W BERNARDO DR SUITE 208
SAN DIEGO, CA 92127-1634
Phone number: 858-218-6653
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Mailing Address
-- MARY ELLEN BENNETT LCSW
16935 W BERNARDO DR SUITE 208
SAN DIEGO, CA 92127-1634
Phone number: 858-218-6653
Copy
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