JASON G RODERICK

PROVIDENCE, RI
NPI1700019254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-09-01
Last Update Date2012-10-04
Business Address
-- JASON G RODERICK MSW, LICSW
35 S ANGELL ST
PROVIDENCE, RI 02906-5206
Phone number: 401-439-4159
Mailing Address
-- JASON G RODERICK MSW, LICSW
51 SPRING GARDEN ST
WARWICK, RI 02888-1652
Phone number: 401-439-4159
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