Individual
JESSICA MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
707 N SMILEY ST, O FALLON, IL 62269-1353
(618) 632-6391
Mailing address
4346 HERCULES RD, SCOTT AFB, IL 62225-6316
(609) 670-6815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5493
NM
Other
Enumeration date
05/02/2014
Last updated
09/11/2025
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