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1760741839
SHADONA RENE' BENNETT
LAWRENCEVILLE, GA
NPI
1760741839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
Ms. SHADONA RENE' BENNETT MAFP
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-2345
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Mailing Address
Ms. SHADONA RENE' BENNETT MAFP
1241 FLAT ROCK RD
MADISON, GA 30650-3140
Phone number: 706-343-0006
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