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Individual

MRS. DOROTHY LENA RODWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
15641 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4123
(239) 851-7166
Mailing address
190 TROPICAL SHORE WAY, FORT MYERS BEACH, FL 33931-3316
(239) 851-7166

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1990
FL
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251916366
TRICARE
FL
01
Z072B
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
01/09/2007
Last updated
06/16/2021
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