Individual
YADIRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CHERRY ST, BROCKTON, MA 02301-2608
(508) 580-4691
(508) 427-5357
Mailing address
56 CHERRY ST, BROCKTON, MA 02301-2608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2256
MA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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