KANDACE ROTH

EAST PEORIA, IL
NPI1205184884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.023565)
Additional Taxonomies104100000X Social Worker
Enumeration Date2012-08-29
Last Update Date2021-07-28
Business Address
KANDACE ROTH
411 E WASHINGTON ST
EAST PEORIA, IL 61611-2663
Phone number: 309-282-6704
Mailing Address
KANDACE ROTH
411 E WASHINGTON ST
EAST PEORIA, IL 61611-2663
Phone number: 309-282-6704