Individual
EDWARD DALE ROGERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 VICKI LN, NORFOLK, NE 68701-4558
(402) 370-3140
(402) 370-3373
Mailing address
1900 VICKI LN, NORFOLK, NE 68701-4558
(402) 370-3140
(402) 370-3373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1985
NE
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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