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Individual

JONATHAN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2589
(901) 516-5200
Mailing address
2679 MORNING WOODS DR, CORDOVA, TN 38016-4777
(901) 451-7795

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000006043
TN

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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