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KATHLEEN YVONNE BENNETT LCSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1710082201

Individual Registrant:
 KATHLEEN YVONNE BENNETT LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1001 SNEATH LN SUITE 300 SAN BRUNO, CA 94066-2308 US
Tel: 650-553-8003  Fax: --

Contact information for business:
124 GONZALEZ DR  SAN FRANCISCO, CA 94132-2406 US
Tel: 805-550-4149  Fax: --

Registration Information:
NPI: 1710082201
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
CALCS 22636

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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