Individual
CASSADDIE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 487-8758
Mailing address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2203393
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/19/2018
Last updated
02/23/2022
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