Individual
KARA ROGERS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 COMMUNICATION WAY, HYANNIS, MA 02601-1883
(508) 815-5373
Mailing address
270 COMMUNICATION WAY, HYANNIS, MA 02601-1883
(508) 815-5373
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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