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1295322626
IRA BENNETT
CALHOUN, GA
NPI
1295322626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006599)
Enumeration Date
2020-12-31
Last Update Date
2020-12-31
Business Address
IRA BENNETT
419 N WALL ST
CALHOUN, GA 30701-1943
Phone number: 706-659-7664
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Mailing Address
IRA BENNETT
1503 N TIBBS RD
DALTON, GA 30720-2915
Phone number: 706-270-5033
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