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Individual

IRENE ASHLEY RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5900 SHARON WOODS BLVD STE A, COLUMBUS, OH 43229-2600
(148) 956-8186
Mailing address
5900 SHARON WOODS BLVD STE A, COLUMBUS, OH 43229-2600
(148) 956-8186

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
OH
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171MOOOOOX
OH
Enumeration date
02/07/2019
Last updated
06/02/2020
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