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1851631303
MALKIA BENNETT
ORANGE, CA
NPI
1851631303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-02-20
Last Update Date
2016-09-09
Business Address
MALKIA BENNETT
525 N PARKER ST
ORANGE, CA 92868-1323
Phone number: 714-639-5547
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Mailing Address
MALKIA BENNETT
525 N PARKER ST
ORANGE, CA 92868-1323
Phone number: 714-639-5547
Copy
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