Individual
MRS. MALLORY GENINE NEILL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 TROY DR, WILMINGTON, NC 28401-7661
(910) 762-2727
Mailing address
1037 ROYAL OAK RD NW, SUPPLY, NC 28462-4207
(704) 402-7140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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