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Individual
MR. PHILIP RANDOLPH ROONEY
Active
Individual
MR. PHILIP RANDOLPH ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/05/2008
Last updated
07/13/2012
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