Individual
MS. ANNE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
220 ROANOKE AVE, RIVERHEAD, NY 11901-2755
(631) 506-0284
(631) 506-0285
Mailing address
PO BOX 119, AQUEBOGUE, NY 11931-0119
(631) 779-3416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P046121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426391
—
NY
Enumeration date
12/29/2006
Last updated
07/08/2007
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