MICHAEL ROACH

PINEVILLE, LA
NPI1003863309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  5230)
Enumeration Date2006-05-30
Last Update Date2007-07-08
Business Address
Mr. MICHAEL ROACH LCSW
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
Mailing Address
Mr. MICHAEL ROACH LCSW
6624 LOST RIDGE DR
PINEVILLE, LA 71360-9718
Phone number: 318-466-1047