Individual
JERALD RODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2565 KRISTINE CT, CENTRALIA, WA 98531-8808
(509) 956-9286
Mailing address
2565 KRISTINE CT, CENTRALIA, WA 98531-8808
(509) 956-9286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61055483
WA
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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