Individual
MS. MONIQUE DESIREE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 CAMPBELL BLVD, NOTTINGHAM, MD 21236-4969
(443) 442-1569
(443) 442-1569
Mailing address
1633 WALTERSWOOD RD, BALTIMORE, MD 21239-2422
(443) 873-3371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9324
MD
Other
Enumeration date
11/02/2017
Last updated
02/05/2019
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