Individual
JENNA AMY RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 751-5344
(310) 398-5690
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
68714
CA
390200000X
Student in an Organized Health Care Education/Training Program
ASW68714
CA
Other
Enumeration date
08/25/2014
Last updated
01/13/2017
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