Individual
COLLEEN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 SCHLEY AVE, FREDERICK, MD 21702-4157
(703) 655-9005
Mailing address
607 SCHLEY AVE, FREDERICK, MD 21702-4157
(703) 655-9005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904008437
VIRGINIA DEPARTMENT OF HEALTH
VA
01
—
24253
MARYLAND BOARD OF SOCIAL WORK
MD
Enumeration date
01/17/2014
Last updated
05/19/2021
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