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Individual

YULIA ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1301 N WAREHOUSE RD, FORT LEAVENWORTH, KS 66027-2364
(404) 314-1820
Mailing address
5515 NW 62ND CT, KANSAS CITY, MO 64151-2456
(404) 314-1820

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904014825
VA
1041C0700X
Clinical Social Worker
2019036900
MO
1041C0700X
Clinical Social Worker
Primary
4265C
AL

Other

Enumeration date
03/12/2020
Last updated
02/06/2024
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