Individual
SHENIKA LATOYA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4307 COLONY WAY, ORLANDO, FL 32808-6405
(850) 321-9315
Mailing address
4307 COLONY WAY, ORLANDO, FL 32808-6405
(850) 321-9315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
—
FL
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Enumeration date
02/05/2008
Last updated
03/30/2020
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