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1790901171
MYRA LYN BENNETT
MEMPHIS, TN
NPI
1790901171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
(Licence: TN 0022)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- MYRA LYN BENNETT LCPT
5350 POPLAR AVE STE 730
MEMPHIS, TN 38119-3697
Phone number: 901-683-5658
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Mailing Address
-- MYRA LYN BENNETT LCPT
5350 POPLAR AVE STE 730
MEMPHIS, TN 38119-3697
Phone number: 901-683-5658
Copy
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