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1013634179
KENDALL DISA BOGES
BRUNSWICK, GA
NPI
1013634179
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Professional Name
KENDALL DISA BENTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC011466)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
KENDALL DISA BOGES LPC
1600 ELLIS ST
BRUNSWICK, GA 31520-6737
Phone number: 912-289-1626
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Mailing Address
KENDALL DISA BOGES LPC
191 DREW CIR
BRUNSWICK, GA 31525-1049
Phone number: 912-580-6578
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