Individual
MS. JAHAIRA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(352) 286-4129
Mailing address
PO BOX 197, AVONDALE ESTATES, GA 30002-0197
(352) 286-4129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004457
GA
1041C0700X
Clinical Social Worker
SW 10255
FL
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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