Individual
JOANN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
1051 S PRATT PKWY, LONGMONT, CO 80501-6630
(303) 678-0772
Mailing address
1574 GOLDENEYE DR, JOHNSTOWN, CO 80534-9237
(970) 587-5311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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