Individual
MS. BERTA RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
868 BOX, BUTLER, NJ 07405-0740
(973) 291-4721
Mailing address
PO BOX 868, BUTLER, NJ 07405-0868
(973) 291-4721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05207000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169579
—
NJ
01
—
71-0960328
TAX ID
NJ
Enumeration date
05/23/2007
Last updated
12/01/2021
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