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Individual

BRIAN B RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8809
Mailing address
2727 E HARDING WAY, STOCKTON, CA 95205-3572
(209) 610-6199

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
97059
CA

Other

Enumeration date
04/09/2007
Last updated
06/15/2022
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