Individual
STEPHANIE MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Mailing address
160 ALLEN STREET, MEDICAL STAFF SERVICES, RUTLAND, VT 05701
(802) 747-3639
(802) 747-6207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0106042
VT
Other
Enumeration date
03/29/2017
Last updated
10/12/2022
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