Individual
JESSICA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 ROUTE 168 STE 104, TURNERSVILLE, NJ 08012-3200
(856) 266-4983
Mailing address
PO BOX 30, GRENLOCH, NJ 08032-0030
(856) 266-4983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518216878
GROUP NPI
—
Enumeration date
04/26/2022
Last updated
04/26/2022
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