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Individual
MRS. TIFFANY SHANETTE ROGERS
Active
Individual
MRS. TIFFANY SHANETTE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
S12780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
NC
Enumeration date
12/09/2014
Last updated
10/28/2024
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