Individual
DIANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1624 NW 6TH ST, GAINESVILLE, FL 32609-3530
(352) 474-8882
Mailing address
7474 NW 21ST WAY, GAINESVILLE, FL 32653-0922
(732) 439-1739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06074800
NJ
104100000X
Social Worker
Primary
SW16631
FL
Other
Enumeration date
10/30/2016
Last updated
03/10/2020
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