Individual
JILL E ROEDIGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.A.D.C., C.A.D.C.
Contact information
Practice address
110 MAIN ST, NORWICH, CT 06360-5738
(860) 892-9002
(860) 892-9009
Mailing address
165 STATE ST, SUITE 200, NEW LONDON, CT 06320-6397
(860) 443-0036
(860) 443-4284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000166
CT
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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