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Individual

MS. MARTINA LEE RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1 VETERANS DR # 116B, VA MEDICAL CENTER, MINNEAPOLIS, MN 55417-2309
(612) 467-1547
Mailing address
1 VETERANS DR # 116B, VA MEDICAL CENTER, MINNEAPOLIS, MN 55417-2309
(612) 467-1547

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00052978
WA
103T00000X
Psychologist
Primary

Other

Enumeration date
02/07/2007
Last updated
07/22/2008
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