Individual
MILDRED N ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
1659513786
NC
175T00000X
Peer Specialist
2239
VA
251S00000X
Community/Behavioral Health Agency
Primary
1659513786
NC
251S00000X
Community/Behavioral Health Agency
3399
VA
Other
Enumeration date
06/12/2021
Last updated
02/08/2024
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