Most Relevant Information
Provider Data
| NPI Number: | 1003510843 |
| Provider Name: | DALE SHAUNE BENNETT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2023 |
| Last Updated: | 07/24/2023 |
Provider Practice Location
8002 CAREY BRANCH DR
FORT WASHINGTON
MD
207444427
Practice Location Phone/Fax
| Phone: | 2404326445 |
| Fax: |
Provider Mailing Location
8002 CAREY BRANCH DR
FORT WASHINGTON
MD
207444427
Provider Mailing Phone/Fax
| Phone: | 2404326445 |
| Fax: |