Individual
DENNYS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2480
(616) 247-3815
Mailing address
1939 DIVISION AVE S, GRAND RAPIDS, MI 49507-2480
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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