Individual
DAISY JENNIFER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1950 EPHRIHAM AVE, FORT WORTH, TX 76164-6670
(817) 813-7075
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105922
TX
Other
Enumeration date
10/07/2019
Last updated
09/18/2025
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