ROGER GERARD DEXTRADEUR

FALL RIVER, MA
NPI1972621134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  116)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Mr. ROGER GERARD DEXTRADEUR
22 FRONT ST
FALL RIVER, MA 02721-4302
Phone number: 508-676-1307
Mailing Address
Mr. ROGER GERARD DEXTRADEUR
22 FRONT ST
FALL RIVER, MA 02721-4302
Phone number: 508-676-1307
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