SAM RENNEBERG

MINNEAPOLIS, MN
NPI1164191177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  306080)
Enumeration Date2021-09-13
Last Update Date2021-09-13
Business Address
SAM RENNEBERG BS, LADC
2200 1ST AVE S
MINNEAPOLIS, MN 55404-3401
Phone number: 612-235-4590
Mailing Address
SAM RENNEBERG BS, LADC
2200 1ST AVE S
MINNEAPOLIS, MN 55404-3401
Phone number: 612-235-4590
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