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1114794088
LAWRENCE CARL BENTLEY
SOMERSET, KY
NPI
1114794088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 281821)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
LAWRENCE CARL BENTLEY TCADC
233 PARKERS MILL WAY
SOMERSET, KY 42503-4152
Phone number: 606-312-3496
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Mailing Address
LAWRENCE CARL BENTLEY TCADC
637 D ANDERS ROAD
LONDON, KY 40744
Phone number: 606-312-3496
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