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Individual
KIMBERLY RODWAY
Active
Individual
KIMBERLY RODWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015556
MI
101YM0800X
Mental Health Counselor
6401015556
MI
101YP2500X
Professional Counselor
6401015556
MI
Other
Enumeration date
09/05/2016
Last updated
03/04/2021
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