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Individual

MRS. SHARICKAH ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
5805 OAKLAND DR, PORTAGE, MI 49024-1118
(269) 323-1954
(269) 323-4183
Mailing address
4429 MONTEREY PINE AVE, PORTAGE, MI 49024-9054

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401013517
MI
103TC1900X
Counseling Psychologist
Primary
6301015420
MI

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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