Most Relevant Information
Provider Data
| NPI Number: | 1003289224 |
| Provider Name: | KATIE RODRIGUEZ LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 008980 |
Most Important Dates
| Enumeration Date: | 11/10/2015 |
| Last Updated: | 04/17/2019 |
Provider Practice Location
941 BRIDGEPORT AVE
MILFORD
CT
064603142
Practice Location Phone/Fax
| Phone: | 2038786365 |
| Fax: |
Provider Mailing Location
941 BRIDGEPORT AVE
MILFORD
CT
064603142
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |