Individual
LAURA M RODELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.ED., QMHA
Contact information
Practice address
1790 W 11TH AVE STE A, EUGENE, OR 97402-3780
(541) 868-0661
(541) 868-0660
Mailing address
4990 FORSYTHIA ST, SPRINGFIELD, OR 97478-7712
(541) 868-0661
(541) 868-0660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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