Individual
CONNIE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 N 24TH ST, OMAHA, NE 68110-2252
(402) 451-5549
Mailing address
2505 N 24TH ST, OMAHA, NE 68110-2252
(402) 451-5549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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