NICHOLAS ANDREW BENNETT
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1922744747- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2680 SNELLING AVE N STE 200, ROSEVILLE, MN, 551131879
- Phone
- (651) 364-9381
Specialties & Taxonomies
Social Worker, Clinical
Primary License: MN #28480
All Addresses
MAILING
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN, 554332638