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Individual
MRS. MICHELLE LYNN ROGERS
Active
Individual
MRS. MICHELLE LYNN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S.1201211
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.1201211
OH
101YM0800X
Mental Health Counselor
S.1201211
OH
104100000X
Social Worker
Primary
S.1201211
OH
1041C0700X
Clinical Social Worker
S.1201211
OH
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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