Individual
MRS. CHELESIA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10513 BAYBERRY DR, OKLAHOMA CITY, OK 73162-6752
(405) 788-0987
Mailing address
10513 BAYBERRY DR, OKLAHOMA CITY, OK 73162-6752
(405) 788-0987
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
04/26/2018
Last updated
06/16/2018
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