Individual
BRANDI LEIGH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3101 W 2ND CT, RUSSELLVILLE, AR 72801-4504
(479) 567-5654
(479) 567-5661
Mailing address
PO BOX 10323, RUSSELLVILLE, AR 72812-0323
(479) 567-5654
(479) 567-5661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2697-M
AR
1041C0700X
Clinical Social Worker
Primary
5470-C
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/04/2006
Last updated
03/26/2020
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