Individual
MARY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 ELMHURST BLVD, SALINA, KS 67401
(785) 823-6322
(785) 823-3109
Mailing address
809 ELMHURST BLVD, SALINA, KS 67401
(785) 823-6322
(785) 823-3109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11848
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
08/31/2020
Last updated
08/31/2020
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