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Individual

LIKEBA I BENTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
155 BLACKMON RD, JACKSON, MS 39272-6002
(601) 383-7328
Mailing address
155 BLACKMON RD, JACKSON, MS 39272-6002
(601) 383-7328

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M11403
MS

Other

Enumeration date
03/24/2025
Last updated
03/24/2025
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