Individual
ALYCIA M ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 MANORWOOD CT APT D, COLUMBIA, SC 29212-2375
(803) 550-8220
Mailing address
117 MANORWOOD CT APT D, COLUMBIA, SC 29212-2375
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16523
SC
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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