Individual
CAROL RODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
108 N LINCOLN AVE, BEAVER DAM, WI 53916-2110
(920) 887-9549
(920) 887-3977
Mailing address
108 N LINCOLN AVE, BEAVER DAM, WI 53916-2110
(920) 887-9549
(920) 887-3977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11055 - 132
WI
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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