Individual
LYDIA RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 SENTRY LN, MARTINSBURG, WV 25401-2973
(410) 810-4598
Mailing address
204 SENTRY LN, MARTINSBURG, WV 25401-2973
(410) 810-4598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WV
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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