Individual
PATRICIA WHITE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1171 HART ST, CANTON, MS 39046-4805
(601) 859-9888
Mailing address
PO BOX 607, CANTON, MS 39046-0607
(601) 859-9888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15405
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15405
261QR1300X - CLINIC/CENTER RURAL HEALTH
MS
Enumeration date
07/28/2022
Last updated
07/28/2022
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