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Individual

MRS. RUTH FASSIE ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9560 SKILLMAN ST, SUITE 126, DALLAS, TX 75243-8256
(214) 340-8700
(214) 246-1998
Mailing address
9560 SKILLMAN ST, SUITE 126, DALLAS, TX 75243-8256
(214) 340-8700
(214) 246-1998

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
130173
TX
373H00000X
Day Training/Habilitation Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104319
TX
05
130173
TX
05
37
TX
Enumeration date
11/09/2010
Last updated
11/09/2010
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