Individual
MS. DENISE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2885 N BROOKBURY XING, FAYETTEVILLE, AR 72703-4377
(479) 466-8986
Mailing address
2885 N BROOKBURY XING, FAYETTEVILLE, AR 72703-4377
(479) 466-8986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9868-C
AR
1041C0700X
Clinical Social Worker
SW12613
FL
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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