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1962949214
JACQUELINE BENNETT
DURHAM, NC
NPI
1962949214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P009770)
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
-- JACQUELINE BENNETT
2003 E NC HIGHWAY 54 STE C
DURHAM, NC 27713-2483
Phone number: 919-682-5300
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Mailing Address
-- JACQUELINE BENNETT
207 CHATEAU RD
DURHAM, NC 27704-1433
Phone number: 919-358-1219
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