NPI 1578856092 · live from the CMS NPI Registry
Maurine Wilcox Bennett, MFS
Marriage & Family Therapist in Dublin, GA. National Provider Identifier 1578856092, active.
NPI record
| NPI | 1578856092 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 715 James Currie Rd, Dublin, GA 31021 |
| Practice phone | 478-274-0037 |
| Enumerated | May 17, 2011 |
| Last updated | May 17, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT000889 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.