Individual
ANGELA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SOUND RD, HOLLY RIDGE, NC 28445-7813
(910) 803-2400
Mailing address
325 SOUND RD, HOLLY RIDGE, NC 28445-7813
(910) 803-2400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34477
NC
Other
Enumeration date
08/16/2010
Last updated
04/01/2019
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