Individual
STEPHANIE IRMA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 HARTWELL LN, DAVENPORT, FL 33897-5928
(863) 888-2741
Mailing address
3500 POSNER BLVD # 1085, DAVENPORT, FL 33837-3640
(863) 888-2741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2017
Last updated
10/19/2022
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