Individual
GEORGIANA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS NA ED S
Contact information
Practice address
8766 E. HWY 69, HUMBOLDT UNIFIED SCHOOL DISTRICT/SSO, PRESCOTT VALLEY, AZ 86314
(928) 759-4042
(928) 759-4030
Mailing address
8766 E. HWY 69, HUMBOLDT UNIFIED SCHOOL DISTRICT/SSO, PRESCOTT VALLEY, AZ 86314
(928) 759-4042
(928) 759-4030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6087
AZ
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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