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Individual

RODRIGO FERNANDO VILLEGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5327
Mailing address
100 STATE ST APT 129, NORTH HAVEN, CT 06473-2225
(914) 819-8115

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4892
CT

Other

Enumeration date
01/13/2020
Last updated
03/04/2022
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