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1649772872
KERYN JOHNSON BENASULY
LAWRENCEVILLE, GA
NPI
1649772872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006320)
Enumeration Date
2018-03-04
Last Update Date
2018-03-04
Business Address
Ms. KERYN JOHNSON BENASULY LCSW
2000 RIVERSIDE PKWY STE 107
LAWRENCEVILLE, GA 30043-5926
Phone number: 678-878-3215
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Mailing Address
Ms. KERYN JOHNSON BENASULY LCSW
BRIDGEWAY HOSPICE 2000 RIVERSIDE PKWY SUITE 107
LAWRENCEVILLE, GA 30043
Phone number: 678-878-3215
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