Individual
CAMILA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
217 HAVEMEYER ST FL 3, BROOKLYN, NY 11211-6277
(718) 963-7655
Mailing address
217 HAVEMEYER ST FL 3, BROOKLYN, NY 11211-6277
(718) 963-7655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
221700000X
Art Therapist
Primary
001167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001167
REGISTRATION
NY
Enumeration date
02/25/2008
Last updated
02/04/2021
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