Organization
KATIE RODRIGUEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE RODRIGUEZ LCSW (OWNER)
(203) 951-1744
Entity
Organization
Contact information
Practice address
57 PLAINS RD STE DOFFICE3, MILFORD, CT 06461-2573
(203) 951-1744
(203) 283-4234
Mailing address
57 PLAINS RD STE DOFFICE3, MILFORD, CT 06461-2573
(203) 951-1744
(203) 283-4234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008990
LICENSE
CT
Enumeration date
03/31/2020
Last updated
03/31/2020
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