Organization
COREEN ROGERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREEN ROGERS LCSW (LCSW)
(860) 983-3207
Entity
Organization
Contact information
Practice address
255 HEBRON AVE, GLASTONBURY, CT 06033-2116
(860) 368-0112
Mailing address
37 WARNER POND LN, HEBRON, CT 06248-1370
(860) 228-1165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558717256
NPI
CT
Enumeration date
06/03/2020
Last updated
06/03/2020
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