Rodgers, Ida Leary

Rodgers, Ida Leary is an sole proprietor health care provider with primary practice located at 1221 Carolina Ave Ste 8 , Elizabeth City NC 27909-5407. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodgers, Ida Leary can be contacted via phone (252) 340-4987.

Contact Information

Primary practice address
1221 Carolina Ave Ste 8 Elizabeth City NC 27909-5407
Fax: (252) 331-2849
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X COO5653 North Carolina

Profile Details

NPI number 1194933069
LBN Legal business name Rodgers, Ida Leary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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