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Individual
ROBERTA JEAN ROESCH
Active
Individual
ROBERTA JEAN ROESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I0009456
OH
1041C0700X
Clinical Social Worker
Primary
I.0009456-S
OH
Other
Enumeration date
08/09/2005
Last updated
07/10/2018
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