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1861013104
JOSE ANTONIO RODRIGUEZ
MANCHESTER, NH
NPI
1861013104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NH 0234)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
JOSE ANTONIO RODRIGUEZ CRSW
60 ROGERS ST UNIT 204
MANCHESTER, NH 03103-5098
Phone number: 603-309-7472
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Mailing Address
JOSE ANTONIO RODRIGUEZ CRSW
1602 E MAIN ST APT 1
CENTER CONWAY, NH 03813-4117
Phone number: 978-761-3902
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