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1942757992
DEIDRA R BENTLEY
ATLANTA, GA
NPI
1942757992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 008407)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- DEIDRA R BENTLEY LPC
3755 REDWINE RD APT 11210
ATLANTA, GA 30344-5975
Phone number: 404-729-0760
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Mailing Address
-- DEIDRA R BENTLEY LPC
3755 REDWINE RD APT 11210
ATLANTA, GA 30344
Phone number: 404-729-0760
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