Individual
CHRISTINE ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
(518) 782-3433
Mailing address
2354 HARRISON ST, SCHENECTADY, NY 12306-4440
(518) 542-7650
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
078630
NY
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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