Individual
KIMBERLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
290 LIBERTY ST, LITTLE FERRY, NJ 07643-1303
(201) 314-9063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07181900
NJ
Other
Enumeration date
10/22/2024
Last updated
10/23/2024
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