Individual
WILLARD BLAINE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
720 CAMBRIDGE PLZ, CAMBRIDGE, MD 21613-2531
(443) 769-3969
(571) 699-2950
Mailing address
720 CAMBRIDGE PLZ, CAMBRIDGE, MD 21613-2531
(443) 769-3969
(571) 699-2950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/01/2024
Last updated
09/13/2024
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