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Individual

DAISY M RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W., L.C.S.W.

Contact information

Practice address
153 BOONTON AVE, KINNELON, NJ 07405-2947
(973) 600-7344
Mailing address
153 BOONTON AVE, KINNELON, NJ 07405-2947
(973) 600-7344

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00234700
NJ

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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