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Individual

ROBERT ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
314 WYNDHURST AVE, BALTIMORE, MD 21210-2416
(443) 681-9935
(443) 687-8662
Mailing address
203 MURDOCK RD, BALTIMORE, MD 21212-1824
(407) 721-5947

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP9063
MD
101YP2500X
Professional Counselor
Primary
LC10874
MD

Other

Enumeration date
01/28/2019
Last updated
03/22/2021
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