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Individual

JULIA ROSE BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(401) 601-9823
Mailing address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(401) 601-9823

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-416250
SC

Other

Enumeration date
03/13/2025
Last updated
03/13/2025
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