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Individual

DENISE RODRIGUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1 KALISA WAY STE 211, PARAMUS, NJ 07652-3538
(914) 529-7010
(201) 652-6253
Mailing address
41 MASON ST, LAKE HOPATCONG, NJ 07849-1212
(201) 572-5480

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07022000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44SL07022000
LICENSED SOCIAL WORKER
NJ
Enumeration date
09/13/2023
Last updated
09/13/2023
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