Individual
EMILY RYAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6908 POPLAR WOOD TRL, KNOXVILLE, TN 37920-6484
(507) 420-6865
Mailing address
6908 POPLAR WOOD TRL, KNOXVILLE, TN 37920-6484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19075
FL
1041C0700X
Clinical Social Worker
8109
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW19075
DEPARTMENT OF HEALTH
FL
Enumeration date
01/18/2023
Last updated
01/18/2023
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