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Individual
MS. KATHLEEN RODGERS
Active
Individual
MS. KATHLEEN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R039333-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133021
VALUE OPTIONS
NY
01
—
BB8967
MEDICARE PCAN
NY
Enumeration date
09/20/2006
Last updated
07/15/2014
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