Individual
CARMEN MARIELA JORGE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
45 LUDLOW ST STE 508, YONKERS, NY 10705-1950
(718) 820-3624
Mailing address
45 LUDLOW ST STE 508, YONKERS, NY 10705-1950
(718) 820-3624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092407
NY
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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