Individual
ALEXA MARIAH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1352 N 27TH ST, PHILADELPHIA, PA 19121-4994
(484) 651-5563
Mailing address
1352 N 27TH ST, PHILADELPHIA, PA 19121-4994
(484) 651-5563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022647
PA
Other
Enumeration date
05/17/2022
Last updated
05/19/2022
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