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Organization

HARBOR SHORE WELLNESS PLLC

Active
Other names
HARBOR SHORE WELLNESS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN ROCHA II LCSW (PSYCHOTHERAPIST)
(262) 358-3592
Entity
Organization

Contact information

Practice address
8114 41ST AVE, KENOSHA, WI 53142
(262) 358-3592
Mailing address
8114 41ST AVE, KENOSHA, WI 53142-4544
(262) 358-3592

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/28/2023
Last updated
03/28/2023
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