Individual
JO A. BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
(770) 898-7403
(770) 898-7412
Mailing address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
(770) 898-7403
(770) 898-7412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW000687
GA
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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