Individual
JACQUELINE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
731 MAIN ST STE 122, MONROE, CT 06468-2872
(203) 300-6414
Mailing address
731 MAIN ST STE 122, MONROE, CT 06468-2872
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2281
CT
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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