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Individual

LESLIE M ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, NBC

Contact information

Practice address
1189 S PERRY ST, SUITE 110C, CASTLE ROCK, CO 80104-1958
(303) 814-5411
Mailing address
PO BOX 552, FRANKTOWN, CO 80116-0552
(303) 814-5411

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2507
CO

Other

Enumeration date
07/14/2006
Last updated
07/08/2007
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