Individual
MARCIA GRAVES RODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
140 HIGH ST, SPRINGFIELD, MA 01105-1442
(413) 452-3353
Mailing address
140 HIGH ST, SPRINGFIELD, MA 01105-1442
(413) 452-3353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1020672
MA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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