Individual
WILBUR ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1903 GADSDEN ST STE 204, COLUMBIA, SC 29201-2352
(803) 254-9767
(803) 254-9740
Mailing address
1903 GADSDEN ST STE 204, COLUMBIA, SC 29201-2352
(803) 254-9767
(803) 254-9740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4808
SC
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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