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Individual

MRS. KAYCIE CHRISTINE ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1313 W ASH AVE, SUITE 104, DUNCAN, OK 73533-4358
(580) 512-4292
Mailing address
1313 W ASH AVE, SUITE 104, DUNCAN, OK 73533-4358
(580) 512-4292

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4456
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111408402
TX
Enumeration date
07/12/2012
Last updated
04/13/2016
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