| Katie Rodriguez | |
|
57 Plains Rd Ste Doffice3 Milford CT 06461-2573 | |
| (203) 951-1744 | |
| (203) 283-4234 |
| Full Name | Katie Rodriguez |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 57 Plains Rd Ste Doffice3, Milford, Connecticut |
| Authorized Official Name and Position | Katie Rodriguez (OWNER) |
| Authorized Official Contact | 2039511744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Rodriguez 57 Plains Rd Ste Doffice3 Milford CT 06461-2573 Ph: (203) 951-1744 | Katie Rodriguez 57 Plains Rd Ste Doffice3 Milford CT 06461-2573 Ph: (203) 951-1744 |
| NPI Number | 1336777655 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336777655 | NPI | - | NPPES |
| 008990 | Other | CT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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