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Individual

RICHARD RODGERS

Active
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Individual

RICHARD RODGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171W00000X
Contractor
174200000X
Meals Provider
251E00000X
Home Health Agency
324500000X
Substance Abuse Rehabilitation Facility
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/08/2022
Last updated
05/14/2025
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