Individual
TYESHA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8G PASCO DR, EAST WINDSOR, CT 06088-1708
(860) 254-5127
Mailing address
80 ELLINGTON ST, HARTFORD, CT 06106-3454
(860) 849-3042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9028
CT
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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