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1942687645
ROD OPP
FARGO, ND
NPI
1942687645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1750)
Enumeration Date
2015-05-01
Last Update Date
2015-05-01
Business Address
-- ROD OPP LAC, LSW.
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
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Mailing Address
-- ROD OPP LAC, LSW.
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
Copy
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