Individual
HEIDI K RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401
Mailing address
90 E 300 S, MOUNT PLEASANT, UT 84647-1829
(435) 469-2453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2709113501
UT
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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