Individual
MISS SANDY CHEREYLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, HS-BCP
Contact information
Practice address
3059 RED BERRY CIR, EFFINGHAM, SC 29541-4944
(843) 647-7418
Mailing address
3059 RED BERRY CIR, EFFINGHAM, SC 29541-4944
(843) 647-7418
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
1270
SC
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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