Individual
DESTINY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 695-9152
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 695-9152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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