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Individual

PROF. NANCY Y RODRIGUEZ-LORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
400 WEST LINCOLN AVE., GOSHEN, IN 46526-4723
(574) 533-7133
(574) 533-7666
Mailing address
65818 HARWOOD DR, GOSHEN, IN 46526-8997
(574) 536-6229
(574) 533-7666

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34004716A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200535420A
IN
Enumeration date
07/20/2005
Last updated
05/07/2008
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