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Individual

MRS. JENNIFER MARIE ROCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
938 NINA ELIZABETH CIR APT 101, BRANDON, FL 33510-4536
(813) 965-8796
(813) 236-7551
Mailing address
938 NINA ELIZABETH CIR APT 101, BRANDON, FL 33510-4536
(813) 965-8796
(813) 236-7551

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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