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Individual

MS. ANASTACIA MARY ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2802 7TH ST, TUSCALOOSA, AL 35401-1808
(205) 737-3605
Mailing address
2802 7TH ST, TUSCALOOSA, AL 35401-1808
(205) 737-3605

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4342G
AL
1041C0700X
Clinical Social Worker
4475C-S
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4342G
ALABAMA STATE BOARD OF SOCIAL WORKERS
AL
01
4475C-S
LICSW
AL
Enumeration date
04/17/2018
Last updated
10/28/2025
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