Individual
MISS SHELY ELIRNI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 HANCOCK ST, LAWRENCE, MA 01841-5055
(978) 473-0465
Mailing address
94 HANCOCK ST, LAWRENCE, MA 01841-5055
(978) 473-0465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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