Individual
MS. MATALYN DENISE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 MURCHISON RD, FAYETTEVILLE, NC 28301-7012
(910) 483-0324
Mailing address
218 CENTRAL DR, FAYETTEVILLE, NC 28301-4324
(910) 483-1597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5513
NC
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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