Individual
MRS. OPHELIA N ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LPC
Contact information
Practice address
120 S MADISON AVE STE 24, ELK CITY, OK 73644-5741
(866) 926-6552
(580) 225-1130
Mailing address
17595 E 1240 RD, ERICK, OK 73645-4522
(580) 414-0164
(580) 225-1130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4115
OK
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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