Individual
CRYSTAL MARIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
756 TYVOLA RD, CHARLOTTE, NC 28217-3588
(980) 265-1001
Mailing address
756 TYVOLA RD, CHARLOTTE, NC 28217-3588
(980) 265-1001
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2022-7765-01
NC
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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