Individual
CRISTIAN RODRIGUEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12329
SC BOARD OF SOCIAL WORK EXAMINERS
SC
Enumeration date
07/28/2017
Last updated
07/21/2022
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