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1528640729
ELISA MARIA BENNETT
COLUMBUS, GA
NPI
1528640729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
ELISA MARIA BENNETT RBT
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
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Mailing Address
ELISA MARIA BENNETT RBT
129 CONNER ST
MONTICELLO, GA 31064-1309
Phone number: 770-317-5925
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