KAWANZA ROACH

DALLAS, GA
NPI1891230579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-01-04
Last Update Date2017-01-04
Business Address
-- KAWANZA ROACH
233 SILVER SPRING ST
DALLAS, GA 30157-8289
Phone number: 678-670-9639
Mailing Address
-- KAWANZA ROACH
233 SILVER SPRING ST
DALLAS, GA 30157-8289
Phone number:
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