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Individual

STEVIE ALEXIS RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
225X00000X
Occupational Therapist
Primary
11821070-4201
UT
225XM0800X
Mental Health Occupational Therapist

Other

Enumeration date
03/04/2011
Last updated
12/20/2021
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