Individual
JULIE RENEE ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2970 LORNA RD, BIRMINGHAM, AL 35216-4506
(205) 979-2619
Mailing address
5732 12TH AVE S, BIRMINGHAM, AL 35222-4112
(205) 999-2376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1331
AL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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