Individual
MISS BRENDA ANASTASIA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9310 SIERRA AVE, FONTANA, CA 92335-5711
(866) 205-3595
Mailing address
5339 DELANEY WAY, FONTANA, CA 92336-5993
(909) 728-5556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
11/29/2021
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