Individual
PENNY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 N MAIN ST STE F, HARRISON, AR 72601-2920
(870) 340-2636
Mailing address
2308 HENLEY DR, HARRISON, AR 72601-4875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9835-M
AR
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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