Individual
DEANNA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 DARTMOUTH CT NW, CHARLOTTE, NC 28269-6220
(704) 724-3829
Mailing address
1712 DARTMOUTH CT NW, CHARLOTTE, NC 28269-6220
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NC
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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