Individual
MR. ROBERT RODERIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.W.
Contact information
Practice address
31 GELLETTE RD, FAIRHAVEN, MA 02719-5408
(508) 990-0894
(508) 990-0298
Mailing address
31 GELLETTE RD, FAIRHAVEN, MA 02719-5408
(508) 990-0894
(508) 990-0298
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
313602
MA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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