Individual
MANDEE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2909 WASHINGTON BLVD STE 203, OGDEN, UT 84401-3744
(801) 336-0562
Mailing address
3197 W 4625 S, ROY, UT 84067-8973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13972542-3502
UT
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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