MS. Susan J Roeth, LCSW

NPI #1376714105 in Fort Carson, Colorado

Provider Information

NPI Number
1376714105
Entity Type
Individual
Name
MS. Susan J Roeth, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 19, 2008
Last Updated
Apr 5, 2011

Practice Location

Address
1853 OCONNELL BLVD
Address 2
BLDG 1056, ROOM 9
ZIP Code
80913-4055
Phone
(719) 526-6823

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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