Individual
MS. COREY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-6793
Mailing address
147 TRIPP RD, ELLINGTON, CT 06029-3640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010071
CT
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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