Mildred Ilene Rodriguez, LAC
NPI #1700645033 in Summit, New Jersey
Provider Information
- NPI Number
- 1700645033
- Entity Type
- Individual
- Name
- Mildred Ilene Rodriguez, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LAC
- Enumeration Date
- Mar 18, 2024
- Last Updated
- Mar 18, 2024
Practice Location
- Address
- 37 MAPLE ST
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-2529
- Phone
- (732) 674-9857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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