Individual
MS. LATISHA MICHELLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, MHP
Contact information
Practice address
3501 COLBY AVE STE 105, EVERETT, WA 98201-4795
(425) 273-3145
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(509) 241-7315
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60003648
WA
Other
Enumeration date
11/17/2016
Last updated
06/08/2021
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