GLEN BENNETT

MACON, GA
NPI1295195568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  APC005038)
Enumeration Date2016-03-01
Last Update Date2016-03-01
Business Address
-- GLEN BENNETT LAPC
304 PIERCE AVE
MACON, GA 31204-2422
Phone number: 404-314-9752
Mailing Address
-- GLEN BENNETT LAPC
304 PIERCE AVE
MACON, GA 31204-2422
Phone number: 404-314-9752
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