Individual
KELLY R ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1024 SHERIDAN AVE, CHARLOTTESVILLE, VA 22901-4024
(434) 882-3317
Mailing address
1024 SHERIDAN AVE, CHARLOTTESVILLE, VA 22901-4024
(434) 882-3317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007002
VA
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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