DOMINIC DEON ROGERS

CONWAY, SC
NPI1831450154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-06-04
Last Update Date2012-06-04
Business Address
-- DOMINIC DEON ROGERS
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888
Mailing Address
-- DOMINIC DEON ROGERS
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888