Individual
MRS. YESSICA OLGA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED SW
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-4100
(337) 262-1146
Mailing address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
(337) 437-4014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18753
LA
171M00000X
Case Manager/Care Coordinator
18753
LA
Other
Enumeration date
09/16/2024
Last updated
11/19/2024
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