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Individual

MRS. SHIRLEY LEVONE ANDERSONBENTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
711 MARTIN LN, MISSOURI CITY, TX 77489-1424
(713) 398-1718
(281) 261-2962
Mailing address
711 MARTIN LN, MISSOURI CITY, TX 77489-1424
(713) 398-1718
(281) 261-2962

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/05/2007
Last updated
07/08/2007
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