Most Relevant Information
Provider Data
| NPI Number: | 1003484452 |
| Provider Name: | MARTRISHA RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2021 |
| Last Updated: | 06/14/2021 |
Provider Practice Location
113 EXECUTIVE POINTE BLVD STE 104
COLUMBIA
SC
292108681
Practice Location Phone/Fax
| Phone: | 8552847483 |
| Fax: |
Provider Mailing Location
1000 JEFFERSON ST STE 2C
LYNCHBURG
VA
245041724
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |