Individual
KENIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(786) 728-1460
(786) 452-1200
Mailing address
14280 SW 47TH ST, MIAMI, FL 33175-4320
(786) 728-1460
(786) 452-1200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014787300
—
FL
Enumeration date
11/04/2010
Last updated
10/02/2021
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