Individual
CAROLINE ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 S MICHIGAN AVE STE 104, CHICAGO, IL 60616-2857
(786) 515-4503
Mailing address
2340 N CALIFORNIA AVE APT 319, CHICAGO, IL 60647-6630
(786) 515-4503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
149.024652
IL
Other
Enumeration date
01/13/2022
Last updated
07/16/2023
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