Individual
LUIS RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4155
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW01391
RI
Other
Enumeration date
03/10/2010
Last updated
12/29/2010
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