Individual
MR. MICHAEL DAMIEN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 102, AUSTELL, GA 30106-6810
(770) 948-3233
(770) 944-1537
Mailing address
1872 MONTREAL RD, TUCKER, GA 30084-5709
(770) 496-9400
(770) 496-9495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0030804
GA
Other
Enumeration date
01/10/2006
Last updated
12/02/2010
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