| Leslie R. Roach, P.l.l.c. | |
|
1316 Broad St Durham NC 27705-3533 | |
| (919) 213-0407 | |
| Not Available |
| Full Name | Leslie R. Roach, P.l.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1316 Broad St, Durham, North Carolina |
| Authorized Official Name and Position | Leslie R Roach (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9192130407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie R. Roach, P.l.l.c. 1316 Broad St Durham NC 27705-3533 Ph: (919) 213-0407 | Leslie R. Roach, P.l.l.c. 1316 Broad St Durham NC 27705-3533 Ph: (919) 213-0407 |
| NPI Number | 1811511553 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811511553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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