Individual
GABRIELLE MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-6073
(920) 431-0333
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3926-57
WI
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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