Anthony Roach, PC-IT, SW
NPI #1083968200 in Brown Deer, Wisconsin
Provider Information
- NPI Number
- 1083968200
- Entity Type
- Individual
- Name
- Anthony Roach, PC-IT, SW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- PC-IT, SW
- Enumeration Date
- Nov 9, 2012
- Last Updated
- Nov 9, 2012
Practice Location
- Address
- 3900 W BROWN DEER RD
- Address 2
- STE 200
- City
- Brown Deer
- State
- Wisconsin
- ZIP Code
- 53209-1220
- Phone
- (414) 540-2170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker |
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