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Individual

MRS. KATHERINE ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDS, LPC

Contact information

Practice address
1730 SE MOBERLY LN, SUITE 4, BENTONVILLE, AR 72712-7015
(479) 306-0787
Mailing address
1730 SE MOBERLY LN, SUITE 4, BENTONVILLE, AR 72712-7015
(479) 306-0787

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P1609137
AR

Other

Enumeration date
10/21/2016
Last updated
10/21/2016
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