Individual
DANIEL C ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
FOND DU LAC HUMAN SERVICES DIVISION, 927 TRETTEL LANE, CLOQUET, MN 55720
(218) 879-1227
Mailing address
1309 BADGER DR, CLOQUET, MN 55720-2910
(218) 380-4114
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP0884
MN
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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