Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7823 OLD STATE ROAD 60, SELLERSBURG, IN 47172-1858
(812) 246-4272
Mailing address
8506 PLUM RUN DR, SELLERSBURG, IN 47172-9096
(502) 876-5960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006096A
IN
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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