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1689066136
CARLY RICHELLE ROACH
GRAND RAPIDS, MI
NPI
1689066136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801108306)
Enumeration Date
2015-02-20
Last Update Date
2024-04-15
Business Address
CARLY RICHELLE ROACH LMSW
2135 BUCHANAN AVE SW
GRAND RAPIDS, MI 49507-2911
Phone number: 616-247-3638
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Mailing Address
CARLY RICHELLE ROACH LMSW
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number:
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