Individual
MR. MARK MORGAN ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
40 LAMBERT ST, SUITE 222, STAUNTON, VA 24401
(540) 886-3956
(540) 886-3975
Mailing address
40 LAMBERT ST, SUITE 222, STAUNTON, VA 24401
(540) 886-3956
(540) 886-3975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904003575
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11397930
CAQH
—
Enumeration date
08/03/2006
Last updated
07/08/2007
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