Individual
KAREN GULLEDGE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPES
Contact information
Practice address
401 WEST BLVD, CHESTERFIELD, SC 29709-1534
(843) 623-5541
Mailing address
69 COLIE EDWARDS RD, RUBY, SC 29741-6735
(843) 634-6806
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
3061
SC
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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