RICHARD LORNAL DODGE

GAUTIER, MS
NPI1639114663
Other NameDICK DODGE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A8424202)
Enumeration Date2006-06-16
Last Update Date2008-04-18
Business Address
-- RICHARD LORNAL DODGE PhD CADCII ICRE
3407 SHAMROCK CT
GAUTIER, MS 39553
Phone number: 228-497-0690
Mailing Address
-- RICHARD LORNAL DODGE PhD CADCII ICRE
3407 SHAMPROCK CT
GAUTIER, MS 39553
Phone number: 228-497-0690
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