Individual
MRS. DEBORAH L ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
(304) 429-7562
Mailing address
715 LANE ST, COAL GROVE, OH 45638
(740) 355-8606
(740) 353-1662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S-0500643
OH
1041C0700X
Clinical Social Worker
Primary
I1101573
OH
Other
Enumeration date
03/12/2008
Last updated
10/19/2018
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