Individual
CHALIA MILDRET RODRIGUEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
20155 SW 122ND AVE APT 101, MIAMI, FL 33177-5280
(786) 619-5907
Mailing address
20155 SW 122ND AVE APT 101, MIAMI, FL 33177-5280
(786) 619-5907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMS.0102637
FL
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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