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Individual
RODRIGO A MENDEZ
Active
Individual
RODRIGO A MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC, MSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001117
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09924959
CO
Other
Enumeration date
04/27/2015
Last updated
08/22/2019
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