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Individual

GILBERTO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, PGSW

Contact information

Practice address
15785 MEDICAL ARTS DR, HAMMOND, LA 70403-1447
(985) 543-4080
(985) 543-4090
Mailing address
15785 MEDICAL ARTS DR, HAMMOND, LA 70403-1447
(985) 543-4080
(985) 543-4090

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10688
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11166
LA
Enumeration date
03/10/2010
Last updated
03/10/2010
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