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Individual

JOHN ROGERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122572 3501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
876000308007
UT
Enumeration date
07/12/2006
Last updated
07/08/2007
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