Individual
MISS VIMAR E RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1541
(401) 762-1511
(401) 762-1609
Mailing address
64 HENDRICK ST, PROVIDENCE, RI 02908-5218
(401) 454-2119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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