Individual
SAM ELI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2120 EMMORTON PARK RD STE E, EDGEWOOD, MD 21040-1066
(443) 402-1925
Mailing address
8365 DISTINCTIVE DR, SAN DIEGO, CA 92108-2600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34161
MD
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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