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1013329481
KELLY BENNETT
PANAMA CITY, FL
NPI
1013329481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
-- KELLY BENNETT
2711 W 15TH ST
PANAMA CITY, FL 32401-1366
Phone number: 850-769-6001
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Mailing Address
-- KELLY BENNETT
8917 N DAVIS HWY APT 119
PENSACOLA, FL 32514-5312
Phone number: 850-218-7494
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