Individual
TATIANA IVETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
501 E CHESTNUT ST APT 1R, LANCASTER, PA 17602-3571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139483
PA
Other
Enumeration date
02/22/2023
Last updated
02/28/2023
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