Theodus Marques Roach, LCSW
NPI #1154340768 in Indian Trail, North Carolina
Provider Information
- NPI Number
- 1154340768
- Entity Type
- Individual
- Name
- Theodus Marques Roach, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Feb 17, 2025
Practice Location
- Address
- 210 POSTAGE WAY #1772
- City
- Indian Trail
- State
- North Carolina
- ZIP Code
- 28079-9701
- Phone
- (980) 338-5563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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