Individual
MS. SUZANNE HELENE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
11282132-CSAC
Contact information
Practice address
1517 E HUEBBE PKWY, BELOIT, WI 53511-1795
(608) 313-0524
Mailing address
4131 RIVERSIDE RD, WATERFORD, WI 53185-3433
(262) 496-1562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11282132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39395800
—
WI
Enumeration date
02/14/2007
Last updated
07/08/2007
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