Individual
MR. DEXTER ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 NE 16TH AVE, GAINESVILLE, FL 32601-2511
(352) 448-9120
Mailing address
2701 NW 23RD BLVD APT 185, GAINESVILLE, FL 32605-5962
(864) 979-8602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH20646
FL
106H00000X
Marriage & Family Therapist
Primary
IMT3486
FL
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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