Individual
IVONNE MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
372 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 272-7333
Mailing address
833 EVERGREEN WAY, STOCKBRIDGE, GA 30281-6232
(787) 421-8732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011348
GA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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