NPI | 1235403981 |
---|---|
Doing Business As | SUZANNE RODRIGUEZ |
Entity Type | Organization |
Authorized Contact | SUZANNE LYNETTE RODRIGUEZ Licensed Clinical Social Worker 509-833-0744 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: WA LW 60137381) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2012-02-27 |