Individual
MR. IGNACIO RODRIGUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
5653 N 64TH AVE, GLENDALE, AZ 85301, GLENDALE, AZ 85301
(773) 822-7001
Mailing address
5653 N 64TH AVE, GLENDALE, AZ 85301, GLENDALE, AZ 85301
(773) 822-7001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LBSW-16949
AZ
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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