Individual
MRS. SANDRA JO ROGERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
1124 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 298-0025
Mailing address
203 CIRCLE SLOPE DR, SIMPSONVILLE, SC 29681-5853
(864) 967-0017
(864) 298-0045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
791
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0112
—
SC
Enumeration date
02/08/2006
Last updated
07/09/2007
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