Individual
MRS. COREEN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 WARNER POND LN, HEBRON, CT 06248-1370
(860) 983-3207
Mailing address
37 WARNER POND LN, HEBRON, CT 06248-1370
(860) 983-3207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005484
CT
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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