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1063890408
BENGIE BRYANT
VIRGINIA BEACH, VA
NPI
1063890408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710102236)
Enumeration Date
2015-05-18
Last Update Date
2015-05-18
Business Address
-- BENGIE BRYANT
4520 HOLLAND OFFICE PARK SUITE 418
VIRGINIA BEACH, VA 23452-1145
Phone number: 757-333-6580
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Mailing Address
-- BENGIE BRYANT
951 OWLS CREEK LN
VIRGINIA BEACH, VA 23451-5839
Phone number: 757-289-4529
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