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Organization

RENEGADE WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE SURGI LCSW (OWNER, CLINICAL DIRECTOR)
(847) 987-5655
Entity
Organization

Contact information

Practice address
725 WASHINGTON ST APT 108, EVANSTON, IL 60202-2243
(224) 300-0987
Mailing address
725 WASHINGTON ST APT 108, EVANSTON, IL 60202-2243

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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