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Individual

PRISCILLA DENISE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LMHP, RPT

Contact information

Practice address
6659 SORENSEN PKWY, OMAHA, NE 68152-2139
(402) 502-9788
Mailing address
6659 SORENSEN PKWY, OMAHA, NE 68152-2139
(402) 502-9788

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0904009612
VA
101YM0800X
Mental Health Counselor
1677
NE
101YM0800X
Mental Health Counselor
Primary
4863
NE

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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