Individual
AIMEE ROSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LCDC II
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 282-4779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161490
OH
104100000X
Social Worker
Primary
S.2512741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294486
—
OH
Enumeration date
03/22/2017
Last updated
08/07/2025
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