Individual
MS. LAUREN GRACE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 GOODWIN AVE, STATEN ISLAND, NY 10314-2935
(718) 757-9433
Mailing address
52 GOODWIN AVE, STATEN ISLAND, NY 10314-2935
(718) 757-9433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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