Individual
ANTONAY NYKERIA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 WESTCOTT LN, ANTIOCH, TN 37013-5272
(615) 243-0968
Mailing address
1000 HOSPITAL RD, WAYNESVILLE, MO 65583-2634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2021036337
MO
1041C0700X
Clinical Social Worker
Primary
4107
TN
Other
Enumeration date
09/21/2021
Last updated
10/31/2024
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