Individual
KENEDY ETTA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
366 GREEN MOUNTAIN DR, NACOGDOCHES, TX 75964-2401
(936) 635-1016
Mailing address
366 GREEN MOUNTAIN DR, NACOGDOCHES, TX 75964-2401
(936) 635-1016
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
43634
TX
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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