Individual
LATISHA ADUNNI ROCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 GOLD ST, BELCHERTOWN, MA 01007-9838
(678) 634-9526
Mailing address
137 GOLD ST, BELCHERTOWN, MA 01007-9838
(678) 634-9526
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R59834141
BLUE CROSS BLUE SHIELD
GA
Enumeration date
08/20/2019
Last updated
01/07/2020
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