Individual
LAURA ANN ROGERS-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
5912 HIGHWAY 70 E, MEAD, OK 73449
(580) 745-9083
(580) 745-9885
Mailing address
402 PARK ST SE APT 14B, ARDMORE, OK 73401-8368
(580) 220-8850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040
—
OK
Enumeration date
09/02/2011
Last updated
09/02/2011
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