Individual
MRS. LILLIAM ELISA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 956-4618
(270) 412-6889
Mailing address
650 JOEL AVENUE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FT. CAMPBELL, KY 42223
(270) 956-4618
(270) 412-6889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5458
TN
Other
Enumeration date
04/05/2010
Last updated
09/18/2024
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