Individual
MRS. AMBER NICOLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
275 S ASPEN ST, BUCKLEY AFB, CO 80011-9562
(720) 847-6451
Mailing address
14496 E WARREN PL, AURORA, CO 80014-1421
(904) 742-8238
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8729
SC
1041C0700X
Clinical Social Worker
C005871
NC
1041C0700X
Clinical Social Worker
Primary
SW8329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
11/08/2006
Last updated
03/06/2021
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