Individual
NICOLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
Mailing address
10467 MCGUIRE AVE, KLAMATH FALLS, OR 97603-9519
(541) 891-0732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
A14896
OR
Other
Enumeration date
10/03/2014
Last updated
04/28/2024
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