Individual
CAROLYN RODRIGUEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 LEE AVE, MERRICK, NY 11566-2413
(516) 477-3046
Mailing address
2060 LEE AVE, MERRICK, NY 11566-2413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R046926-1
NY
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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