NPI 1003510843

Dale Shaune Bennett

Practitioner Case Manager/Care Coordinator Fort Washington, MD

Practice location

Address: 8002 Carey Branch Dr, Fort Washington, MD 20744-4427
Phone: (240) 432-6445

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003510843
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2023
Record last updated: 24 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.