Individual
ERICA E RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-2253
Mailing address
700 AIRPORT RD, PO BOX 2036, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-2253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05458000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
02/10/2011
Last updated
05/15/2014
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