Individual
MICHELLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 LARKWOOD DR, MT STERLING, KY 40353-8826
(859) 274-6136
Mailing address
1306 LARKWOOD DR, MT STERLING, KY 40353-8826
(859) 274-6136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
678710
KY
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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