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1295195568
GLEN BENNETT
MACON, GA
NPI
1295195568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-01
Last Update Date
2024-07-29
Business Address
GLEN BENNETT LPC
304 PIERCE AVE
MACON, GA 31204-2422
Phone number: 404-314-9752
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Mailing Address
GLEN BENNETT LPC
304 PIERCE AVE
MACON, GA 31204-2422
Phone number: 404-314-9752
Copy
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