Individual
MANDY J RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1211 AHTANUM RIDGE DR, UNION GAP, WA 98903-1813
(509) 966-0199
Mailing address
1211 AHTANUM RIDGE DR, UNION GAP, WA 98903-1813
(509) 966-0199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61129833
WA
Other
Enumeration date
05/06/2013
Last updated
01/14/2025
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