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1629314216
LISA RENAYE BENTLEY
STATESVILLE, NC
NPI
1629314216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 4233)
Enumeration Date
2012-12-31
Last Update Date
2013-01-02
Business Address
-- LISA RENAYE BENTLEY LPC
209 BARIUM SPRINGS DRIVE
STATESVILLE, NC 28677-6238
Phone number: 707-873-1011
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Mailing Address
-- LISA RENAYE BENTLEY LPC
PO BOX 1
BARIUM SPRINGS, NC 28010-0001
Phone number: 707-873-1011
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