Individual
MRS. KIMBERLYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
45 S 3RD AVE, AVONDALE, AZ 85323-2264
(623) 772-5190
Mailing address
16187 W GIBSON LN, GOODYEAR, AZ 85338-3449
(623) 363-1999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0608
AZ
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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