Individual
GEMMA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 POTTLE RD, OXFORD, ME 04270-3362
(207) 743-7911
Mailing address
44 SHERWOOD DR, OTISFIELD, ME 04270-7439
(207) 583-5868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6992
ME
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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