Individual
MS. JACQUELINE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17440 BLYTHE ST, NORTHRIDGE, CA 91325-4420
(818) 568-5700
Mailing address
17440 BLYTHE ST, NORTHRIDGE, CA 91325-4420
(818) 568-5700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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