Individual
STACIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W 136TH ST, CARMEL, IN 46032-1312
(317) 571-4084
Mailing address
900 W 136TH ST, CARMEL, IN 46032-1312
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10817301
IN
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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