Individual
DONOVAN P ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
32 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-5600
(330) 630-5600
Mailing address
32 SOUTH AVE, TALLMADGE, OH 44278-2802
(330) 630-5600
(330) 630-5810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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