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Individual

SANDRA I RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
43 LIBERTY ST, FORDS, NJ 08863-2214
(732) 406-4857
Mailing address
43 LIBERTY ST, FORDS, NJ 08863-2214
(732) 406-4857

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00671500
NJ
101YP2500X
Professional Counselor
Primary
37PC01206100
NJ

Other

Enumeration date
09/29/2023
Last updated
12/10/2025
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