Individual
CAITLYN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(763) 236-5950
Mailing address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(763) 236-5950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24588
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922470152
—
MN
Enumeration date
10/27/2015
Last updated
11/11/2019
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