Individual
DESIREE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
(614) 436-7837
Mailing address
1303 KING AVE APT C, COLUMBUS, OH 43212-2224
(419) 733-1416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1200213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010684796
—
OH
Enumeration date
12/13/2013
Last updated
12/13/2013
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