Individual
DR. MARY PATRICIA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4043 BAYMEADOWS RD, JACKSONVILLE, FL 32217
(904) 472-1624
Mailing address
4043 BAYMEADOWS RD, JACKSONVILLE, FL 32217
(904) 472-1624
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6470
FL
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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