MATTHEW KENNETH ROGERS

CHAMPAIGN, IL
NPI1922606235
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149022541)
Enumeration Date2020-10-09
Last Update Date2020-10-09
Business Address
MATTHEW KENNETH ROGERS
2302 MORELAND BLVD
CHAMPAIGN, IL 61822-1398
Phone number: 217-356-7576
Mailing Address
MATTHEW KENNETH ROGERS
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number:
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