Individual
MS. KATIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
941 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
Mailing address
941 BRIDGEPORT AVE, MILFORD, CT 06460-3142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008980
CT
Other
Enumeration date
11/10/2015
Last updated
04/17/2019
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