Individual
ALEX ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12355 DE PAUL DR STE 150, BRIDGETON, MO 63044-2581
(314) 344-7200
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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