Judi Taylor Rogers, LCSW
Social Worker, Clinical in Kingsland, GA. Individual provider (NPI-1).
NPI number1508916503
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1508916503
- Entity type
- Individual (NPI-1)
- Name
- Judi Taylor Rogers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2007
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW002516 | GA | Yes |
Practice location
100 Mariners Dr Ste DKingsland, GA 31548-6667
Phone 770-656-4401 · Fax 386-283-4170
Mailing address
90 San Juan Dr Apt B104Palm Coast, FL 32137-2368
Phone 770-331-9344 · Fax 386-283-4170
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