Individual
ALYSIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
98 MAIN ST, SOUTHINGTON, CT 06489-2500
(860) 276-3970
Mailing address
PO BOX 2222, MANCHESTER, CT 06045-2222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6560
CT
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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