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Individual
LAURA BENTLEY
Active
Individual
LAURA BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178011578
IL
101YP2500X
Professional Counselor
Primary
180.012263
IL
Other
Enumeration date
05/15/2019
Last updated
05/20/2019
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