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Individual

ANDREA D ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7717 W GOOD HOPE RD APT 108, MILWAUKEE, WI 53223-4505
(252) 357-1422
Mailing address
7717 W GOOD HOPE RD APT 108, MILWAUKEE, WI 53223-4505
(252) 357-1422

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
WI
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100133091
WI
Enumeration date
11/10/2020
Last updated
11/10/2020
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