Individual
MRS. KENDRA L.E. ROEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1704 RED FOX RD, SAINT CLOUD, MN 56301-7900
(320) 282-2730
Mailing address
1704 RED FOX RD, SAINT CLOUD, MN 56301-7900
(320) 282-2730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15386
MN
Other
Enumeration date
08/05/2007
Last updated
08/06/2010
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