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Individual

JESSICA ANN ROUILLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IADC

Contact information

Practice address
319 5TH ST, HUDSON, SD 57034
(320) 262-0433
Mailing address
PO BOX 343, HUDSON, SD 57034-0343
(320) 262-0433

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11112
IA

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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