Individual
MS. CAMILLE LORRAINE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 867-1027
Mailing address
107 LEO RD, HAMDEN, CT 06517-2630
(475) 414-3240
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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