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Individual

MISS LISSA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAICSW

Contact information

Practice address
100 N HOWARD ST STE 100, SPOKANE, WA 99201-0508
(530) 426-2771
Mailing address
10655 FOREST AVE S, SEATTLE, WA 98178-2722
(206) 661-8582

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61169540
WA

Other

Enumeration date
03/22/2024
Last updated
03/22/2024
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