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Individual

ROCHELLE EZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3751 PENNRIDGE DR STE 119, BRIDGETON, MO 63044-1244
(314) 239-2728
(949) 561-4148
Mailing address
400 CARL SHIPP DR UNIT B, LIBERTY HILL, TX 78642-4281
(573) 239-4893

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024037952
MO

Other

Enumeration date
01/17/2025
Last updated
01/17/2025
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