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Individual

MRS. LAUREN GLASGOW ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
161 JACKLYN CT, BOWLING GREEN, KY 42104-7554
(502) 451-2142
(502) 451-2740
Mailing address
161 JACKLYN CT, BOWLING GREEN, KY 42104-7554
(270) 634-0077

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
142441
KY
235Z00000X
Speech-Language Pathologist
KY-3247
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1463
CBIS PROVIDER NUMBER
KY
Enumeration date
06/05/2007
Last updated
04/06/2020
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