Individual
SOPHIA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 319-7305
(580) 319-7328
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 319-7305
(580) 319-7328
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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