Individual
BRANDI D RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 MACARTHUR DR, CONWAY, AR 72032-4510
(501) 575-0452
(877) 991-8005
Mailing address
21 MACARTHUR DR, CONWAY, AR 72032-4510
(501) 575-0452
(877) 991-8005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5461-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548704521
ORGANIZATION NPI
AR
Enumeration date
09/17/2008
Last updated
07/21/2022
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