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Alyssa Rodriguez

Social Worker in Malta, NY. Individual provider (NPI-1).

NPI number1003691981
StatusActive
Last updated in NPPESAug 29, 2023

Details

NPI
1003691981
Entity type
Individual (NPI-1)
Name
Alyssa Rodriguez
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2023
Certification date
Aug 29, 2023
Last updated
Aug 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker12180NYYes

Practice location

2452 State Route 9 Ste 206
Malta, NY 12020-4448

Phone 518-292-5433

Mailing address

2452 State Route 9 Ste 206
Malta, NY 12020-4448

Phone 518-292-5433

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