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Individual

REVA K ROCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
902 N. RIVERSIDE RD., STE. 100, ST. JOSEPH, MO 64507-2552
(816) 271-1350
(816) 271-1355
Mailing address
902 N. RIVERSIDE RD., STE. 100, ST. JOSEPH, MO 64507-2552
(816) 271-1350
(816) 271-1355

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004016352
MO

Other

Enumeration date
07/09/2010
Last updated
07/09/2010
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