Provider Information for 1144771544
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ANITA ROGERS LMHC
Sex: Female
NPI: 1144771544
Last Updated: 2019-10-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1144771544 | ||||||||||||
| Enumeration Date | 2016-10-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 12416 TROUT CIR SPRING HILL, FL 34609-4964 United States Phone: 360-813-8785 | Fax: | ||||||||||||
| Primary Practice Address | 12416 TROUT CIR SPRING HILL, FL 34609-4964 United States Phone: 360-813-8785 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 530 BOGACHIEL WAY | ||||||||||||
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