NICHOLAS ANDREW BENNETT

ROSEVILLE, MN
NPI1922744747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  28480)
Enumeration Date2022-05-05
Last Update Date2022-05-05
Business Address
NICHOLAS ANDREW BENNETT
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113-1879
Phone number: 651-364-9381
Mailing Address
NICHOLAS ANDREW BENNETT
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: