Individual
MARISSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 9TH AVE NE STE 300, SEATTLE, WA 98105-4762
(206) 591-1782
Mailing address
4500 9TH AVE NE STE 300, SEATTLE, WA 98105-4762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
07/14/2017
Last updated
02/19/2025
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