Individual
MR. DAVID RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Mailing address
8325 KENNEDY BLVD, APT 3B, NORTH BERGEN, NJ 07047-4258
(201) 421-0515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05826000
NJ
Other
Enumeration date
08/28/2017
Last updated
06/16/2021
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