Individual
SUSIE ROAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC III
Contact information
Practice address
1714 ABBEY RD, PIERRE, SD 57501-7805
(605) 224-8841
Mailing address
1714 ABBEY RD, PIERRE, SD 57501-7805
(605) 224-8841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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