Individual
MRS. JEANETTE B. ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
43 COLUMBIA STREET, SUITE 11, BANGOR, ME 04401
(207) 217-0679
(207) 573-4666
Mailing address
503 FIVE ROAD, CARMEL, ME 04419
(207) 217-0679
(207) 573-4666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC16730
ME
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
09/06/2019
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