Individual
GWENDOLYN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 KNIGHT ST APT 1501, SHREVEPORT, LA 71105-2742
(318) 415-9356
Mailing address
3201 KNIGHT ST APT 1501, SHREVEPORT, LA 71105-2742
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
01/14/2019
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