Provider Information for 1255061297
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DAUNE W RODMAN MSW, LCSW, LISW-CP
Sex: Female
NPI: 1255061297
Last Updated: 2022-06-13
Certification Date: 2022-05-31
Certification Date: 2022-05-31
Details
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NPI | 1255061297 | |||||||||||||||||||||
Enumeration Date | 2022-06-13 | |||||||||||||||||||||
NPI Type | NPI-1 Individual | |||||||||||||||||||||
Sole Proprietor | YES | |||||||||||||||||||||
Status | Active | |||||||||||||||||||||
Mailing Address | 9203 RANDOM RD WAXHAW, NC 28173-8735 United States Phone: 704-999-3942 | Fax: | |||||||||||||||||||||
Primary Practice Address | 9203 RANDOM RD WAXHAW, NC 28173-8735 United States Phone: 704-999-3942 | Fax: | |||||||||||||||||||||
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