Individual
DR. KYLIE ROGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, NCC
Contact information
Practice address
22355 APPLEWOOD LN, SOUTH BEND, IN 46628-9708
(507) 993-6766
Mailing address
22355 APPLEWOOD LN, SOUTH BEND, IN 46628-9708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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