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1144628397
MARTIN RODRIGUEZ
JERSEY CITY, NJ
NPI
1144628397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37LC00199700)
Enumeration Date
2014-12-19
Last Update Date
2014-12-19
Business Address
-- MARTIN RODRIGUEZ LCADC
110 MARTIN LUTHER DRIVE
JERSEY CITY, NJ 07305
Phone number: 201-200-1965
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Mailing Address
-- MARTIN RODRIGUEZ LCADC
PO BOX 15802
JERSEY CITY, NJ 07305-0802
Phone number: 201-200-1965
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