Jerald Rodman, LICSW
NPI #1104427715 in Centralia, Washington
Provider Information
- NPI Number
- 1104427715
- Entity Type
- Individual
- Name
- Jerald Rodman, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Nov 2, 2020
- Last Updated
- Nov 2, 2020
Practice Location
- Address
- 2565 KRISTINE CT
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-8808
- Phone
- (509) 956-9286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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