Individual
JULIE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.010451
IL
1041C0700X
Clinical Social Worker
149.016755
IL
Other
Enumeration date
02/01/2010
Last updated
07/10/2014
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