Individual
ANGELA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 S BROADWAY, GREEN BAY, WI 54303-1518
(920) 251-0368
Mailing address
330 S BROADWAY, GREEN BAY, WI 54303-1518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12900
WI
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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