Individual
CYNTHIA JANE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMIN, LCSW
Contact information
Practice address
435A CARLISLE DR STE 104, HERNDON, VA 20170-4802
(703) 674-8628
Mailing address
435A CARLISLE DR STE 104, HERNDON, VA 20170-4802
(703) 674-8628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002295
VA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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