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1427825587
SHANAE NICOLE BENITO
ATLANTA, GA
NPI
1427825587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC009680)
Enumeration Date
2023-12-08
Last Update Date
2024-06-03
Business Address
SHANAE NICOLE BENITO APC
5881 GLENRIDGE DR
ATLANTA, GA 30328-5301
Phone number: 929-249-6819
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Mailing Address
SHANAE NICOLE BENITO APC
1316 WILD ROSE DR SE
CONYERS, GA 30013-7447
Phone number: 929-249-6819
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