Individual
MRS. LAVINIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905-5741
(706) 787-2720
(706) 787-8176
Mailing address
HC 2 BOX 7894, GUAYANILLA, PR 00656-9763
(787) 835-0766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5284
PR
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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