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1912629361
MICHAEL BENJAMIN RENKE
MARIETTA, GA
NPI
1912629361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
Mr. MICHAEL BENJAMIN RENKE CADC-T
1290 KENNESTONE CIR STE 109
MARIETTA, GA 30066-6009
Phone number: 770-744-4437
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Mailing Address
Mr. MICHAEL BENJAMIN RENKE CADC-T
2713 RAVEN TRL NE
MARIETTA, GA 30066-1515
Phone number: 770-695-3406
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