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Individual

MRS. NATIVIDAD RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 767-6734
(727) 767-4715
Mailing address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 767-6734
(727) 767-4715

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222Q00000X
Developmental Therapist
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
767535600
FL
Enumeration date
02/09/2007
Last updated
04/07/2011
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