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1891054805
ELLA ANNE BENTLEY
DYERSBURG, TN
NPI
1891054805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN 999)
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
-- ELLA ANNE BENTLEY MS, LADAC
125 S KING AVE
DYERSBURG, TN 38024-4614
Phone number: 731-287-8100
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Mailing Address
-- ELLA ANNE BENTLEY MS, LADAC
510 BEAVER CREEK CV
DYERSBURG, TN 38024-7412
Phone number: 731-445-0112
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