Individual
KIMBERLY ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 HAZEL TER STE 11, WOODBRIDGE, CT 06525-2240
(203) 819-7650
Mailing address
320 LITCHFIELD TPKE, BETHANY, CT 06524-3537
(203) 314-0586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010072
CT
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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