Individual
MISS ELISE IRENE ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1017 FAYETTEVILLE RD SE STE B, ATLANTA, GA 30316-2932
(404) 324-4192
Mailing address
1017 FAYETTEVILLE RD SE STE B, ATLANTA, GA 30316-2932
(404) 324-4192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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