Individual
MISS BROOKE EILEEN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LBS
Contact information
Practice address
11269 PERRY HWY STE 131-133, WEXFORD, PA 15090-9388
(724) 728-8400
Mailing address
1607 3RD ST, BEAVER, PA 15009-2420
(724) 728-8400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60222
PA
172V00000X
Community Health Worker
BH004700
PA
Other
Enumeration date
04/26/2021
Last updated
02/03/2023
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