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1902219140
LISA RENEE BENTON
STOCKBRIDGE, GA
NPI
1902219140
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Former Name
LISA RENEE STEPHENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW004950)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
LISA RENEE BENTON LCSW
217 SHARPSTONE BND
STOCKBRIDGE, GA 30281-9431
Phone number: 404-748-5333
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Mailing Address
LISA RENEE BENTON LCSW
217 SHARPSTONE BND
STOCKBRIDGE, GA 30281-9431
Phone number: 404-748-5333
Copy
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