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Individual
MYRACLE JEWEL CLAY-BENNETT
Active
Individual
MYRACLE JEWEL CLAY-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15945
NC
101YP2500X
Professional Counselor
—
NC
Other
Enumeration date
09/02/2020
Last updated
08/02/2024
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