Individual
EMMA GRACE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W
Contact information
Practice address
5109 W BROAD ST, SUITE 104, COLUMBUS, OH 43228
(614) 279-7690
Mailing address
5109 W BROAD ST, SUITE 104, COLUMBUS, OH 43228-1648
(614) 279-7690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1700005
OH
Other
Enumeration date
01/24/2017
Last updated
07/19/2018
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