Individual
MRS. JANE EVELYN ROELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 LAKESHORE DR, LEBANON, IN 46052-3100
(765) 680-0071
(765) 680-0468
Mailing address
610 N LEBANON ST, LEBANON, IN 46052-1716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007481A
IN
Other
Enumeration date
06/03/2013
Last updated
09/11/2020
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