| Suzanne Rodriguez | |
|
5200 N Canyon Rd Yakima WA 98901-1626 | |
| (509) 833-0744 | |
| Not Available |
| Full Name | Suzanne Rodriguez |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5200 N Canyon Rd, Yakima, Washington |
| Authorized Official Name and Position | Suzanne Lynette Rodriguez (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5098330744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Rodriguez 5200 N Canyon Rd Yakima WA 98901-1626 Ph: (509) 833-0744 | Suzanne Rodriguez 5200 N Canyon Rd Yakima WA 98901-1626 Ph: (509) 833-0744 |
| NPI Number | 1235403981 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235403981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LW 60137381 (Washington) | Primary |
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