Theresa A Roche, MSW,LCSW Valid NPI

Individual provider · Clinical Social Worker · O Fallon, MO

NPI

1215955463

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

2004008737 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-07-17

Last updated

2015-05-17