Individual
CARLI ROACH
Active
Individual
CARLI ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S2106195
OH
1041C0700X
Clinical Social Worker
Primary
I.2304721
OH
390200000X
Student in an Organized Health Care Education/Training Program
S2001425-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
03/02/2021
Last updated
09/13/2023
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