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Individual
BENJAMIN ROY BOOKIE
Active
Individual
BENJAMIN ROY BOOKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401015165
MI
101YM0800X
Mental Health Counselor
Primary
6401015165
MI
Other
Enumeration date
11/05/2015
Last updated
01/23/2017
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