Individual
JENNIFER JEAN MIRANDA RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-IT
Contact information
Practice address
815 FORWARD DRIVE, MADISON, WI 53711-2443
(608) 268-6530
Mailing address
815 FORWARD DRIVE, MADISON, WI 53711-2443
(608) 268-6530
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/28/2024
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