Individual
MR. ANDRE DESHAWN ROGERS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7373 BROOKCREST DR STE 354, CINCINNATI, OH 45237-3448
(513) 802-5642
Mailing address
10255 STORM DR, CINCINNATI, OH 45251-1255
(513) 400-9111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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