Individual
MRS. CARLY RENEE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2860 S CIRCLE DR STE 109, COLORADO SPRINGS, CO 80906-4195
(719) 540-2146
Mailing address
2860 S CIRCLE DR STE 109, COLORADO SPRINGS, CO 80906-4195
(719) 540-2146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
.0009922168
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926804
CO
Other
Enumeration date
07/28/2020
Last updated
04/22/2022
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