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Individual
ROXANNE V KALCH
Active
Individual
ROXANNE V KALCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
86000172A
IN
104100000X
Social Worker
33005112A
IN
1041C0700X
Clinical Social Worker
34006093A
IN
1041C0700X
Clinical Social Worker
Primary
SW16346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392863
ANTHEM
IN
01
—
200479690
MEDICAID SED WAIVER
IN
01
—
600018-064
MAGELLAN
IN
Enumeration date
12/13/2006
Last updated
07/05/2019
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