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Organization

AIDA RODRIGUEZ LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AIDA RODRIGUEZ LCSW (PRESIDENT)
(973) 997-6212
Entity
Organization

Contact information

Practice address
990 CEDAR BRIDGE AVE, SUITE B7 PMB 133, BRICK, NJ 08723-4159
(973) 997-6212
(732) 746-4201
Mailing address
990 CEDAR BRIDGE AVE, SUITE B7 PMB 133, BRICK, NJ 08723-4159
(973) 997-6212
(732) 746-4201

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05454300
NJ

Other

Enumeration date
03/20/2015
Last updated
03/20/2015
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