Individual
JEANETTE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMLP
Contact information
Practice address
519 S ELM ST, GARNETT, KS 66032-1420
(785) 448-6806
Mailing address
519 S ELM ST, GARNETT, KS 66032-1420
(785) 448-6806
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2923
KS
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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