Individual
CYNTHIA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
959 HERITAGE PKWY, FORT MILL, SC 29715-8333
(704) 492-0544
Mailing address
959 HERITAGE PKWY, FORT MILL, SC 29715-8333
(704) 492-0544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6222
SC
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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