Individual
DR. CHRISTIE ROGERS-LARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 ROSS COMMON RUN, MOORE, SC 29369
(864) 597-2054
Mailing address
PO BOX 170581, SPARTANBURG, SC 29301
(864) 597-2054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5222
SC
Other
Enumeration date
06/23/2011
Last updated
06/27/2012
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