Provider Information for 1982395687
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ROSEANN RODRIGUEZ LPC
Sex: Female
NPI: 1982395687
Last Updated: 2023-05-15
Certification Date: 2023-05-15
Certification Date: 2023-05-15
Details
Name | Value | ||||||||
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NPI | 1982395687 | ||||||||
Enumeration Date | 2023-05-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 208 FLOYD ST WAXAHACHIE, TX 75165-1812 United States Phone: 432-294-0273 | Fax: | ||||||||
Primary Practice Address | 208 FLOYD ST WAXAHACHIE, TX 75165-1812 United States Phone: 432-294-0273 | Fax: | ||||||||
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