JOHN DAVID ROACH

FORT PIERCE, FL
NPI1962863811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-03-18
Last Update Date2016-03-18
Business Address
Mr. JOHN DAVID ROACH
2814 S US HIGHWAY 1 STE D4
FORT PIERCE, FL 34982-8110
Phone number: 772-489-4726
Mailing Address
Mr. JOHN DAVID ROACH
485 SE NOME DR
PORT SAINT LUCIE, FL 34984-8953
Phone number: 772-905-3374
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