Individual
AMY ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 439-6400
(860) 390-1463
Mailing address
PO BOX 390, NEW LONDON, CT 06320-0390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10195
CT
Other
Enumeration date
09/09/2014
Last updated
01/14/2022
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