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1639803190
BENNIE LEE BLEVINS
PORTSMOUTH, OH
NPI
1639803190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
BENNIE LEE BLEVINS CDCA
802 CLARE AVE
PORTSMOUTH, OH 45662-2583
Phone number: 740-876-8449
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Mailing Address
BENNIE LEE BLEVINS CDCA
1018 14TH ST APT D
PORTSMOUTH, OH 45662-3488
Phone number:
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