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Individual

JESSICA NICOLE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1320 LOUISIANA AVE STE A, SAINT CLOUD, FL 34769-4116
(407) 593-0122
Mailing address
2388 SWEETWATER BLVD, SAINT CLOUD, FL 34772-8604
(407) 791-5324

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
05/31/2022
Last updated
05/31/2022
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