Individual
ASHLEY N ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1415 LINCOLNWAY W STE T, OSCEOLA, IN 46561-2063
(574) 651-8912
(574) 281-4412
Mailing address
1415 LINCOLNWAY W STE T, OSCEOLA, IN 46561-2063
(574) 651-8912
(574) 281-4412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34011175A
IN
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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