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SAMANTHA BENNAHUM LCSW

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

Registrant NPI Number: 1770190407

Individual Registrant:
 SAMANTHA  BENNAHUM LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3515 75TH ST APT 208  JACKSON HTS, NY 11372-4427 US
Tel: 917-837-9194  Fax: --

Contact information for business:
3515 75TH ST APT 208  JACKSON HTS, NY 11372-4427 US
Tel: 917-837-9194  Fax: --

Registration Information:
NPI: 1770190407
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NY080816-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NY - Page 1



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