Individual
ELIZABETH ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6443 HERONRUN WAY, GULF BREEZE, FL 32563-7050
(585) 704-2188
Mailing address
6443 HERONRUN WAY, GULF BREEZE, FL 32563-7050
(585) 704-2188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-15117
AZ
1041C0700X
Clinical Social Worker
R047782-1
NY
1041C0700X
Clinical Social Worker
Primary
SW13252
FL
Other
Enumeration date
10/08/2015
Last updated
03/03/2016
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