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1245980515
LUIS ERNESTO RODRIGUEZ
ROXBURY, MA
NPI
1245980515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 41491644)
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
LUIS ERNESTO RODRIGUEZ
302 EUSTIS ST
ROXBURY, MA 02119-3800
Phone number: 617-445-1123
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Mailing Address
LUIS ERNESTO RODRIGUEZ
302 EUSTIS ST
ROXBURY, MA 02119-3800
Phone number: 617-445-1123
Copy
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