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1235487729
BRUCE EVERETT OBRENTZ
SMYRNA, GA
NPI
1235487729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA Exempt)
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
Mr. BRUCE EVERETT OBRENTZ MA, ICAADC
3995 S COBB DR SE
SMYRNA, GA 30080-6342
Phone number: 678-779-7923
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Mailing Address
Mr. BRUCE EVERETT OBRENTZ MA, ICAADC
3027 RIVERSTONE TRL
ATLANTA, GA 30339-8450
Phone number: 678-779-7923
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