JUANITA MARIE RODRIGUEZ

SCOTTSBLUFF, NE
NPI1932143955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NE  20)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
MRS. JUANITA MARIE RODRIGUEZ LADC,NCAC I,Q-SAP,
1321 BROADWAY
SCOTTSBLUFF, NE 69361-3579
Phone number: 308-632-7411
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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