Mr. Roger Gerard Dextradeur
Mr. Roger Gerard Dextradeur is an Addiction (Substance Use Disorder) Counselor in Fall River, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2007
Practice location Address checks out
22 Frnt STFall River, MA 02721-4302
Phone: (508) 676-1307
Fax: (508) 674-4493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 116 (MA) |
|---|
Record details
| NPI number | 1972621134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
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