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Individual

AMY ELIZABETH ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
108 N ABINGTON RD, CLARKS GREEN, PA 18411-2505
(570) 604-4393
Mailing address
813 MILL ST, DUNMORE, PA 18512-3044
(570) 604-4393

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007399
PA

Other

Enumeration date
09/20/2017
Last updated
09/20/2017
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