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1215473020
BENJAMIN BURTON
BRUNSWICK, GA
NPI
1215473020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA lpc002291)
Enumeration Date
2017-01-18
Last Update Date
2017-01-18
Business Address
-- BENJAMIN BURTON
600 COASTAL VILLAGE DR
BRUNSWICK, GA 31520-1973
Phone number: 912-554-8500
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Mailing Address
-- BENJAMIN BURTON
600 COASTAL VILLAGE DR
BRUNSWICK, GA 31520-1973
Phone number: 912-554-8500
Copy
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