Individual
JESSICA J RODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000273
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008866
—
VT
01
—
18079
BLUE CROSS BLUE SHIELD
VT
Enumeration date
08/08/2006
Last updated
12/13/2009
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