Individual
MARA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E 22ND ST, MINNEAPOLIS, MN 55406-1315
(651) 746-9129
Mailing address
2700 E 22ND ST, MINNEAPOLIS, MN 55406-1315
(651) 746-9129
(651) 746-9129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9504
MINNESOTA LICENSE
MN
Enumeration date
06/23/2015
Last updated
10/31/2023
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