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Individual
RODGER E RODDY
Active
Individual
RODGER E RODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.168820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.168820
LICENSE CDP BOARD
OH
Enumeration date
12/03/2018
Last updated
12/03/2018
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