Provider Information for 1053606723
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RODERICK E FOLEY MS, LPC
Sex: Male
NPI: 1053606723
Last Updated: 2020-12-28
Certification Date: 2020-12-28
Certification Date: 2020-12-28
Details
| Name | Value | ||||||||||||
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| NPI | 1053606723 | ||||||||||||
| Enumeration Date | 2011-06-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 246 RANCHESTER, WY 82839-0246 United States Phone: 307-461-2042 | Fax: | ||||||||||||
| Primary Practice Address | 1111 HWY 345 RANCHESTER, WY 82839-0246 United States Phone: 307-461-2042 | Fax: | ||||||||||||
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