Individual
KARLICIA R ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441
(850) 643-1033
Mailing address
10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441
(850) 643-1033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH20992
FL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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