Individual
STEPHANIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
612 E JACKSON ST, HUGO, OK 74743-4025
(580) 326-2200
Mailing address
277 TRAIL ST, DEPORT, TX 75435-2608
(903) 517-9154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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