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Individual
MRS. MARLENE R. RODGERS
Active
Individual
MRS. MARLENE R. RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW AND LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001967A
IN
1041C0700X
Clinical Social Worker
079394
NY
1041C0700X
Clinical Social Worker
Primary
34005628A
IN
Other
Enumeration date
09/24/2009
Last updated
05/04/2012
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