Kandace Roth
NPI #1205184884 in East Peoria, Illinois
Provider Information
- NPI Number
- 1205184884
- Entity Type
- Individual
- Name
- Kandace Roth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 29, 2012
- Last Updated
- Jul 28, 2021
Practice Location
- Address
- 411 E WASHINGTON ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2663
- Phone
- (309) 282-6704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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