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Individual

LUVENIA ANN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10167 MORGAN ST, MIDDLESEX, NC 27557-7451
(919) 633-2858
Mailing address
10167 MORGAN ST, MIDDLESEX, NC 27557-7451
(919) 633-2858

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
008583970001
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008583970001
NC
Enumeration date
02/06/2021
Last updated
02/06/2021
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