Richard Lornal Dodge PHD CADCII ICRE

NPI 1639114663 - Counselor - 101YA0400X

NPI Details
NPI 1639114663
Gender Male
Enumeration Date 06/16/2006
Last Updated 04/18/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3407 SHAMROCK CT
GAUTIER MS, 39553, US
Phone (228) 497-0690
Fax (228) 497-1363
Business Location
3407 SHAMPROCK CT
GAUTIER MS, 39553, US
Phone (228) 497-0690
Fax (228) 497-1363
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number A8424202
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According to our database, Richard Lornal Dodge PHD CADCII ICRE NPI is 1639114663, taxonomy code is 101YA0400X and license number is A8424202, license state is located at California. Richard Lornal Dodge PHD CADCII ICRE physically located at 3407 Shamrock Ct, Gautier MS, 39553. NPI Number Richard Lornal Dodge PHD CADCII ICRE has the Individual type.

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1639114663 NPI number is provided on an as is basis without warranty of any kind. 1639114663 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Lornal Dodge PHD CADCII ICRE are for informational purposes only.