Individual
CARRIE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8321 LEETON LAKE DR, WARRENTON, VA 20186-8750
(757) 615-8878
Mailing address
8321 LEETON LAKE DR, WARRENTON, VA 20186-8750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004694
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979907
—
VA
Enumeration date
04/24/2007
Last updated
04/02/2013
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