Individual
KENDALL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 NW 36TH ST STE 200, OKLAHOMA CITY, OK 73112-2916
(405) 702-9032
Mailing address
4704 KELLYE GREEN ST, SHAWNEE, OK 74804-1473
(405) 229-8190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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