JASON MAICHLE RODDICK

FITCHBURG, WI
NPI1588492490
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20619)
Enumeration Date2024-07-23
Last Update Date2024-07-23
Business Address
JASON MAICHLE RODDICK MA
151 E BADGER RD
FITCHBURG, WI 53713-2725
Phone number: 608-250-2512
Mailing Address
JASON MAICHLE RODDICK MA
151 E BADGER RD
FITCHBURG, WI 53713-2725
Phone number: 608-250-2512
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