Individual
DR. J'DENE MICHELLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2024 W BROADWAY ST, MUSKOGEE, OK 74401-2758
(918) 682-9292
(918) 682-9254
Mailing address
2024 W BROADWAY ST, MUSKOGEE, OK 74401-2758
(918) 682-9292
(918) 682-9254
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
915
OK
Other
Enumeration date
12/05/2006
Last updated
07/09/2007
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