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1023670403
ALACE STORM BENTLEY
LAWRENCEVILLE, GA
NPI
1023670403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW008906)
Enumeration Date
2019-07-05
Last Update Date
2019-07-05
Business Address
ALACE STORM BENTLEY LMSW
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
ALACE STORM BENTLEY LMSW
486 LINDBERGH PL NE APT 323
ATLANTA, GA 30324-3351
Phone number: 404-973-8170
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