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Individual

MRS. CHRISTINE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Mailing address
8958 110TH ST, SEMINOLE, FL 33772-3725
(518) 360-7223

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
024325-1
NY
235Z00000X
Speech-Language Pathologist
9409
MA
235Z00000X
Speech-Language Pathologist
Primary
SA 14296
FL

Other

Enumeration date
02/04/2016
Last updated
06/25/2020
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