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Individual

ADA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 898-1760
(314) 814-8729
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 898-1760
(314) 814-8729

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2001009308
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2001009308
MO
Enumeration date
10/01/2008
Last updated
10/01/2008
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