Individual
MR. RICHARD MARK WODKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
1790 N MASTICK WAY, SUITE D, NOGALES, AZ 85621-1135
(520) 223-6910
(520) 281-3548
Mailing address
1790 N MASTICK WAY, SUITE D, NOGALES, AZ 85621-1135
(520) 223-6910
(520) 281-3548
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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