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Individual

JACQUELINE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5603 S CENTRAL AVE, LOS ANGELES, CA 90011-5967
(323) 432-3700
Mailing address
5603 S CENTRAL AVE, LOS ANGELES, CA 90011-5967
(323) 432-3700

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111775
CA

Other

Enumeration date
06/23/2023
Last updated
08/01/2023
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