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1912157330
RODNEY M BOUDREAUX
CASA GRANDE, AZ
NPI
1912157330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10649)
Enumeration Date
2008-09-22
Last Update Date
2008-09-22
Business Address
-- RODNEY M BOUDREAUX M.A.
120 W MAIN ST
CASA GRANDE, AZ 85222-4820
Phone number: 520-836-1675
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Mailing Address
-- RODNEY M BOUDREAUX M.A.
210 E COTTONWOOD LN
CASA GRANDE, AZ 85222-2514
Phone number: 520-836-1688
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