Individual
CARMEN M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
814 EMMA MEREDITH CIR, SUMMERVILLE, SC 29486-8056
(843) 323-7203
Mailing address
814 EMMA MEREDITH CIR, SUMMERVILLE, SC 29486-8056
(843) 323-7203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14596
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CARMENROD54
ELECTRONIC ADDRESS
SC
Enumeration date
09/04/2021
Last updated
09/04/2021
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