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1659057370
GENESIS ROQUE
WILKES BARRE, PA
NPI
1659057370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
GENESIS ROQUE MS
307 LAIRD ST
WILKES BARRE, PA 18702-6915
Phone number: 570-409-7880
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Mailing Address
GENESIS ROQUE MS
307 LAIRD ST
WILKES BARRE, PA 18702-6915
Phone number:
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