Individual
MR. DAVID FARRIS ROGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.A.D.C.
Contact information
Practice address
2473 103RD LN NW, COON RAPIDS, MN 55433-4528
(763) 323-6646
Mailing address
2473 103RD LN NW, COON RAPIDS, MN 55433-4528
(763) 323-6646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303099
MN
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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