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1932571023
ELICHIA BENNETT
MANSFIELD, LA
NPI
1932571023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-28
Last Update Date
2018-05-22
Business Address
ELICHIA BENNETT
584 ANTIOCH RD
MANSFIELD, LA 71052
Phone number: 318-423-9750
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Mailing Address
ELICHIA BENNETT
584 ANTIOCH RD
MANSFIELD, LA 71052-5258
Phone number: 318-423-9750
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