Individual
MICHAEL BRANDON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114
(501) 257-3091
Mailing address
6 EMERALD CT, LITTLE ROCK, AR 72212-2107
(501) 612-7877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6653-C
AR
1041S0200X
School Social Worker
PROVISIONAL (PLMSW)
AR
Other
Enumeration date
06/20/2012
Last updated
09/07/2018
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