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Individual

LILIAN RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CBHCM

Contact information

Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
Mailing address
12541 SW 211TH TER, MIAMI, FL 33177-5771
(305) 216-0162

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CBHCMP101805
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
10/21/2021
Last updated
10/21/2021
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