Individual
KAMEIA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
Mailing address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19819
WI
1041C0700X
Clinical Social Worker
Primary
132939
WI
Other
Enumeration date
11/01/2022
Last updated
01/19/2023
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