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Individual
MRS. JENNIFER LAURA ROGAK
Active
Individual
MRS. JENNIFER LAURA ROGAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R052561-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02561360
—
NY
Enumeration date
09/07/2005
Last updated
08/15/2018
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