Carolyn Rodriguez I
Social Worker, Clinical in Merrick, NY. Individual provider (NPI-1).
NPI number1770038457
StatusActive
Last updated in NPPESAug 23, 2016
Details
- NPI
- 1770038457
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Rodriguez I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2016
- Last updated
- Aug 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R046926-1 | NY | Yes |
Practice location
2060 Lee AveMerrick, NY 11566-2413
Phone 516-477-3046
Mailing address
2060 Lee AveMerrick, NY 11566-2413
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