Individual
SAMANTHA DOMINQUE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 4TH ST, LUBBOCK, TX 79415-3329
(806) 392-3442
Mailing address
1101 78TH ST, LUBBOCK, TX 79423-4533
(806) 392-3442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69642
TX
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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