Individual
MARY ELIZABETH ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 S LAKESHORE DR STE 415, TEMPE, AZ 85282-7056
(480) 274-0529
Mailing address
1959 S POWER RD STE 103, MESA, AZ 85206-4398
(480) 274-0529
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20571
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150415
—
AZ
Enumeration date
08/10/2022
Last updated
04/26/2024
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