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1023479854
BENTE JOHNSON
MCCOMB, MS
NPI
1023479854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C4173)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- BENTE JOHNSON LCSW
1301B HARRISON AVE
MCCOMB, MS 39648-2829
Phone number: 601-600-2429
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Mailing Address
-- BENTE JOHNSON LCSW
1301B HARRISON AVE
MCCOMB, MS 39648-2829
Phone number: 601-600-2429
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