Individual
MRS. CAROL ANN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 RIVER RD, WINDHAM, ME 04062-4603
(207) 892-7141
(207) 892-6131
Mailing address
495 RIVER RD, WINDHAM, ME 04062-4603
(207) 892-7141
(207) 892-6131
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200090000
MAINE CARE
ME
Enumeration date
08/11/2009
Last updated
08/11/2009
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