Individual
KENNESHA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 N PROVIDENCE RD, MEDIA, PA 19063-3056
(484) 440-9416
Mailing address
844 STIRLING ST, COATESVILLE, PA 19320-3521
(301) 706-1659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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