MR. Michael Roe, LCSW, LCPC

NPI #1134475452 in Calumet City, Illinois

Provider Information

NPI Number: 1134475452
Entity Type: Individual
Name: MR. Michael Roe, LCSW, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LCPC
Enumeration Date: Jul 24, 2012
Last Updated: Apr 30, 2016

Practice Location

Address: 1200 RING RD
Address 2: 2454
City: Calumet City
State: Illinois
ZIP Code: 60409-7200
Phone: (708) 898-8745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Counselor - Professional — Professional	101YP2500X

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