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MS. ANASTACIA MARY ROGERS LMSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1619464500

Individual Registrant:
MS. ANASTACIA MARY ROGERS LMSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5947 HIGHWAY 269  PARRISH, AL 35580-3847 US
Tel: 205-686-5113  Fax: 205-265-2994

Contact information for business:
PO BOX 169  PARRISH, AL 35580-0169 US
Tel: 205-686-5113  Fax: 205-686-5145

Registration Information:
NPI: 1619464500
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AL4342G

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ALABAMA STATE BOARD OF SOCIAL WORKERS4342GAL01




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