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1518534098
CONNIE BIENVENU
HATTIESBURG, MS
NPI
1518534098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MS M8412)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
CONNIE BIENVENU
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
CONNIE BIENVENU
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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