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1104427715
JERALD RODMAN
CENTRALIA, WA
NPI
1104427715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW61055483)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
JERALD RODMAN LICSW
2565 KRISTINE CT
CENTRALIA, WA 98531-8808
Phone number: 509-956-9286
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Mailing Address
JERALD RODMAN LICSW
2565 KRISTINE CT
CENTRALIA, WA 98531-8808
Phone number: 509-956-9286
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