Individual
GLORIA VIVIANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8521 LAMON AVE, BURBANK, IL 60459-2824
(708) 830-8181
Mailing address
8521 LAMON AVE, BURBANK, IL 60459-2824
(708) 830-8181
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2457303
IL
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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