Individual
MARY-KATHRYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMFT
Contact information
Practice address
4930 CENTRAL AVE, MIDDLETOWN, OH 45044-5425
(801) 652-0406
Mailing address
1451 S CENTRAL DR, BEAVERCREEK, OH 45432-2905
(801) 652-0406
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1500006
OH
Other
Enumeration date
11/27/2012
Last updated
02/07/2015
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