Individual
MATTHEW WAYNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6302 BROADWAY ST STE 235, PEARLAND, TX 77581-7828
(979) 997-0051
Mailing address
16100 SPACE CENTER BLVD APT 211, HOUSTON, TX 77062-6229
(281) 235-3653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61653
TX
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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