Individual
KRYSTAL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2745 NW 6TH CT, FORT LAUDERDALE, FL 33311-8660
(954) 871-2322
Mailing address
4716 W ATLANTIC BLVD APT 107, MARGATE, FL 33063-6786
(954) 952-5177
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3388
FL
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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