Individual
CHARLEY RODICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
(219) 595-0043
Mailing address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009067A
IN
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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