Individual
MR. NICHOLAS PAUL ROCHA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5709
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2020004184
MO
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490082535
—
MO
Enumeration date
04/10/2020
Last updated
11/19/2020
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