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NPI Code Detail

MEDICARE: MS. KATHLEEN ELIZABETH RODRIQUEZ MSW

MEDICARE:  MS. KATHLEEN ELIZABETH RODRIQUEZ  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW8781FL

General Provider Information

NPI Number : 1326135096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN ELIZABETH RODRIQUEZ MSW
Provider Business Mailing Address
First Line : 10225 ULMERTON RD STE 7A
Second Line :
City : LARGO
State : FL
Zip : 33771-3522
Country : US
Telephone Number : 727-474-3740
Fax Number :
Provider Business Practice Location Address
First Line : 10225 ULMERTON RD STE 7A
Second Line :
City : LARGO
State : FL
Zip : 33771-3522
Country : US
Telephone Number : 727-474-3740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 03/16/2011

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Directions to “ MS. KATHLEEN ELIZABETH RODRIQUEZ MSW” Practice Location

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