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Individual

MRS. REBECCA ADAMS ROESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSSW

Contact information

Practice address
41 PARK CREEK DRIVE, GREENVILLE, SC 29605
(864) 422-2605
Mailing address
41 PARK CREEK DRIVE, GREENVILLE, SC 29605
(864) 422-2605
(864) 422-2623

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6804
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6804
SC BSWE LICENSE NUMBER
SC
Enumeration date
10/27/2006
Last updated
03/01/2017
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