Individual
DESTINY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 E ARLINGTON BLVD, GREENVILLE, NC 27858-7850
(252) 758-7048
Mailing address
9203 AVERY MEADOWS DR, CHARLOTTE, NC 28216-1014
(248) 971-8970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13419
NC
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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