Individual
RODNEY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4579 S EASON BLVD, TUPELO, MS 38801-6539
(662) 377-2872
Mailing address
168 PINECREST AVE, PLANTERSVILLE, MS 38862-5006
(662) 255-2873
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0302
MS
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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