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Individual

DR. DIANE E ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC

Contact information

Practice address
3413 STARK ST, EUGENE, OR 97404-1570
(541) 484-4881
Mailing address
3413 STARK ST, EUGENE, OR 97404-1570
(541) 484-4881

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC #810
OR

Other

Enumeration date
03/09/2016
Last updated
03/09/2016
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