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Individual

JENNIFER MARIE PONCE DE LEON RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
120 MAPLE ST STE 304, SPRINGFIELD, MA 01103-2216
(787) 835-2568
Mailing address
120 MAPLE ST STE 304, SPRINGFIELD, MA 01103-2216
(787) 376-6469

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1041C0700X
Clinical Social Worker
16377
PR

Other

Enumeration date
05/02/2023
Last updated
01/16/2025
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