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1073911830
BRENDA STEPHENS
CAMILLA, GA
NPI
1073911830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-12-10
Last Update Date
2014-12-11
Business Address
BRENDA STEPHENS
198 S MACARTHUR DR
CAMILLA, GA 31730-6370
Phone number: 229-336-2247
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Mailing Address
BRENDA STEPHENS
198 S. MACARTHUR DRIVE
CAMILLA, GA 31730
Phone number: 229-336-2247
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