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Individual

MISS REBECCA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
FAS PSYCH, LCC, 8687 E. VIA DE VENTURA, #310, SCOTTSDALE, AZ 85258
(508) 559-1567
Mailing address
FAS PSYCH, LCC, 8687 E. VIA DE VENTURA, #310, SCOTTSDALE, AZ 85258
(508) 559-1567

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
122049
MA
1041C0700X
Clinical Social Worker
Primary
219312
MA
1041C0700X
Clinical Social Worker
219312
NY

Other

Enumeration date
02/11/2014
Last updated
07/22/2021
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