DWAYNE A BENNETT

OAKLAND, CA
NPI1902085004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-10-25
Last Update Date2007-11-06
Business Address
Mr. DWAYNE A BENNETT
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
Mailing Address
Mr. DWAYNE A BENNETT
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111