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1427670033
IRA ROACH
AVONDALE, AZ
NPI
1427670033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ 16656)
Enumeration Date
2020-05-18
Last Update Date
2023-12-15
Business Address
IRA ROACH LMSW
235 W WESTERN AVE
AVONDALE, AZ 85323-1848
Phone number: 602-230-7373
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Mailing Address
IRA ROACH LMSW
3101 N CENTRAL AVE STE 550
PHOENIX, AZ 85012-2635
Phone number: 602-230-7373
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