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Individual

RODERICK RUNION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1575 LAKEWAY DR, FLEMING ISLAND, FL 32003-7784
(904) 735-8050
Mailing address
1575 LAKEWAY DR, FLEMING ISLAND, FL 32003-7784
(904) 735-8050

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2512
FL

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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