Roger Mims Jr.

Social Worker · Burton, MI

Individual Active NPI

NPI number 1073364964

Practice location

2104 Boulder Dr
Burton, MI 48529-1517
Phone
(810) 662-2220

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NPI record

NPI
1073364964
Entity type
Individual (Type 1)
Enumeration date
March 28, 2024
Last updated
March 28, 2024
Certified
March 28, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —
Clinical Social Worker 1041C0700X — MI

About Roger Mims

Roger Mims Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 2104 Boulder Dr, Burton, MI 48529-1517. The NPI number 1073364964 was assigned on March 28, 2024 and the record was last updated on March 28, 2024.

Frequently asked questions

What is the NPI number of Roger Mims Jr.?

The NPI number is 1073364964.

What is the phone number of Roger Mims?

The phone number listed for the practice location is (810) 662-2220.

Where is Roger Mims located?

2104 Boulder Dr, Burton, MI 48529-1517.

What is the taxonomy code for Roger Mims?

The primary taxonomy code is 104100000X – Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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