Individual
MILDRED DAMARIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
816 PENNSYLVANIA AVE, SAINT CLOUD, FL 34769-3371
(321) 805-4426
Mailing address
1846 WIMBLEDON ST, KISSIMMEE, FL 34743-3321
(407) 791-7872
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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