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Individual
MR. RODERICK DELOSREYES
Active
Individual
MR. RODERICK DELOSREYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW 24131
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/11/2007
Last updated
05/13/2013
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