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Individual

PENELOPE L RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LMHC

Contact information

Practice address
32 KINOOLE ST, SUITE 103, HILO, HI 96720-2469
(808) 936-9221
Mailing address
PO BOX 11204, HILO, HI 96721-6204
(808) 936-9221

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
230
HI

Other

Enumeration date
01/16/2009
Last updated
06/29/2010
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