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1538374558
BENNIE CECILIA MATTOX
ALBANY, GA
NPI
1538374558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA MSW003148)
Enumeration Date
2007-05-12
Last Update Date
2007-07-08
Business Address
-- BENNIE CECILIA MATTOX
1120 W BROAD AVE SUITE C-4
ALBANY, GA 31707-4397
Phone number: 229-430-4005
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Mailing Address
-- BENNIE CECILIA MATTOX
PO BOX 1988
ALBANY, GA 31702-1988
Phone number: 229-430-4005
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