Individual
IRA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3033 N CENTRAL AVE STE 700, PHOENIX, AZ 85012-2806
(602) 230-7373
(602) 257-8029
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22509
AZ
Other
Enumeration date
05/18/2020
Last updated
10/07/2025
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