Individual
PAUL RODRIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Mailing address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1000-0000027
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000-0000027
LICENSE
VT
05
—
1007584
—
VT
Enumeration date
09/06/2006
Last updated
09/18/2008
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