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Individual

DIANA MICHELLE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 955-1540
(951) 955-1610
Mailing address
27533 SUTHERLAND DR, HIGHLAND, CA 92346-4335
(909) 955-9504

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW106025
CA

Other

Enumeration date
09/29/2021
Last updated
12/05/2023
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