Individual
MR. ROBERT DEFORREST ROGGENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
12600 E 40 HWY, SUITE 101, INDEPENDENCE, MO 64055-5955
(816) 350-3333
(816) 478-8888
Mailing address
12600 E 40 HWY, SUITE 101, INDEPENDENCE, MO 64055-5955
(816) 350-3333
(816) 478-8888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 000177
MO
Other
Enumeration date
03/08/2006
Last updated
01/11/2010
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