JEREMY B ROARK

ADA, MI
NPI1578860193
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY 24012)
Enumeration Date2011-02-16
Last Update Date2024-02-01
Business Address
Dr. JEREMY B ROARK Ph.D.
2650 SHUMAC LN SE
ADA, MI 49301-9355
Phone number: 805-570-7688
Mailing Address
Dr. JEREMY B ROARK Ph.D.
2650 SHUMAC LN SE
ADA, MI 49301-9355
Phone number: 805-570-7688
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