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1770663478
DERICK DANVIL ROACHE
WINTER HAVEN, FL
NPI
1770663478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: FL RN9178432)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. DERICK DANVIL ROACHE RN LCSW PsyD
1201 FIRST STREET SOUTH
WINTER HAVEN, FL 33880
Phone number: 863-297-1702
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Mailing Address
Mr. DERICK DANVIL ROACHE RN LCSW PsyD
200 AVENUE F NORTH EAST
WINTER HAVEN, FL 33881
Phone number: 863-293-1121
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