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1457776791
JUANITA BENTLEY
LAWRENCEVILLE, GA
NPI
1457776791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC003566)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
Mrs. JUANITA BENTLEY
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2374
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Mailing Address
Mrs. JUANITA BENTLEY
3280 WESTHEIMER RD
STONE MOUNTAIN, GA 30087-4429
Phone number: 770-856-7836
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