Individual
KORISSA ROESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
Mailing address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926606
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/23/2016
Last updated
03/31/2020
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