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1104274679
KELLY ROGERS
LAFAYETTE, LA
NPI
1104274679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2016-05-25
Last Update Date
2018-05-18
Business Address
KELLY ROGERS
90 N. LUKE 102L
LAFAYETTE, LA 70605
Phone number: 337-781-5877
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Mailing Address
KELLY ROGERS
1615 JOHNSON ST
JENNINGS, LA 70546-3650
Phone number:
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