Organization
JUANITA RODRIGUEZ LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA CONRIQUEZ RODRIGUEZ LCSW (THERAPIST)
(909) 731-0347
Entity
Organization
Contact information
Practice address
10630 TOWN CENTER DR, SUITE 121, RANCHO CUCAMONGA, CA 91730-6805
(909) 941-1087
Mailing address
120 MORGAN WAY, UPLAND, CA 91786-6443
(909) 731-0347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW61472
CA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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