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1932143955
JUANITA MARIE RODRIGUEZ
SCOTTSBLUFF, NE
NPI
1932143955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 20)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mrs. JUANITA MARIE RODRIGUEZ LADC,NCAC I,Q-SAP,
1321 BROADWAY
SCOTTSBLUFF, NE 69361-3579
Phone number: 308-632-7411
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Mailing Address
Mrs. JUANITA MARIE RODRIGUEZ LADC,NCAC I,Q-SAP,
2201 KINGSGATE RD
SCOTTSBLUFF, NE 69361-4824
Phone number: 308-635-7707
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