Individual
MR. ADRIAN MIGUEL RODRIGUEZ-TARGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
57 PLAINS RD STE 33, MILFORD, CT 06461-2529
(203) 654-6699
Mailing address
57 PLAINS RD STE 33, MILFORD, CT 06461-2529
(203) 654-6699
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3826
CT
1041C0700X
Clinical Social Worker
Primary
10806
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
07/19/2017
Last updated
03/29/2024
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