Individual
MARTHA MYRNA RODRIGUEZ QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4185 BLACKHAWK RD, EAGAN, MN 55122-1701
(952) 237-3876
(651) 925-0084
Mailing address
4185 BLACKHAWK RD, EAGAN, MN 55122-1701
(952) 237-3876
(651) 925-0084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22223
MN
Other
Enumeration date
11/08/2014
Last updated
07/15/2025
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