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Individual

MR. LEONARD LEON BENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
VA MEDICAL CENTER, 400 VETERANS BLVD., BILOXI, MS 39531
(228) 523-4245
Mailing address
443 SANLENAY CT, BILOXI, MS 39531-4617
(228) 388-4116

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CO294
MS

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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