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Individual

ESTEFANI YAMILET RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100
Mailing address
60 FOREST AVE, CRANSTON, RI 02910-4839
(401) 359-0129

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/16/2022
Last updated
08/16/2022
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