Individual
CARLA JEAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, BAS
Contact information
Practice address
500 EUNICE BURNS RD DEPT OF, EUFAULA, OK 74432-4052
(918) 618-2168
(918) 618-4412
Mailing address
PO BOX 294, CANADIAN, OK 74425-0294
(918) 429-5496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3446
OK
Other
Enumeration date
03/08/2007
Last updated
12/16/2020
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