Individual
LISA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-9855
Mailing address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-9855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2036
MA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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