Individual
BETH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
993 PALMER RD, LITHONIA, GA 30058-9088
(770) 789-6231
Mailing address
993 PALMER RD, LITHONIA, GA 30058-9088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005599
GA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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