Individual
JOSEPH ROACH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
419 WHALLEY AVE STE 300, NEW HAVEN, CT 06511-3019
(203) 285-6575
(203) 285-6561
Mailing address
419 WHALLEY AVE STE 300, NEW HAVEN, CT 06511-3019
(203) 285-6575
(203) 285-6561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6576
CT
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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