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MONICA ELAINE BENNEFIELD LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1053701219

Individual Registrant:
 MONICA ELAINE BENNEFIELD LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
146 CCA WAY  LUMPKIN, GA 31815 US
Tel: 229-838-1275  Fax: 229-838-1242

Contact information for business:
146 CCA WAY  LUMPKIN, GA 31815 US
Tel: 229-838-1275  Fax: 229-838-1242

Registration Information:
NPI: 1053701219
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
GACSW004217

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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