Individual
DAISI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 MILLENNIUM DR, CRYSTAL LAKE, IL 60012-3747
(815) 477-4720
Mailing address
365 MILLENNIUM DR, CRYSTAL LAKE, IL 60012-3747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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