Individual
MRS. STEPHANIE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW U/S
Contact information
Practice address
1305 S COUNTRY CLUB RD, MUSKOGEE, OK 74403-7802
(918) 686-5588
Mailing address
20426 E 47TH ST S, BROKEN ARROW, OK 74014-8825
(918) 706-8715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367220B
—
OK
Enumeration date
09/15/2009
Last updated
10/21/2014
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